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Current
Learner Eligibility
Workplace Suitability
Workplace Training Supervisor Suitability
Complete
Please confirm the candidate’s full name
Please confirm the candidate’s personal email address
Please confirm the candidate’s personal email address
Please re-enter the candidate’s personal email address
Please confirm the candidate’s date of birth
Please confirm the candidate’s workplace name
(For example - Buttercups Pharmacy)
Please confirm the candidate’s workplace address
Address Line 1
Address Line 2
City/Town
Post Code
Has the candidate lived in England or the EU for the last 3 years?
Yes
No
Is the candidate a British citizen or EU citizen?
Yes
No
If no, please confirm nationality
Start date with the company
Does the candidate hold a permanent contract of employment?
Yes
No
Does the candidate hold a fixed term contract of employment?
Yes
No
If yes, please state fixed term contract end date
How many hours per week is the contract for?
Is the candidate enrolled onto another government funded programme?
Yes
No
Does the candidate hold a Level 4 qualification or above?
Yes
No
If yes, please state. If unsure of prior qualification levels, please list all qualifications the candidate holds so we can check these
Please list any pharmacy qualifications the candidate holds or has studied towards in the past
Please confirm full details for ALL Maths, English and Science qualifications including the grade achieved
(For example - English Language GCSE Grade C)
Personal Learning Record (PLR)
If you are happy for us to access your Personal Learning Record (PLR), which is a permanent, authoritative online record of your qualifications and achievements, please provide details of the postcode of your home address for the time you were studying towards your qualification and confirmation that you have read and agree to the privacy notice
Privacy Notice Confirmation
I have read and agree to the
privacy notice
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