APPRENTICE DETAILS

Name*

Date of Birth*

Contact Number*

Email*

EMPLOYER DETAILS

Company*

Main Contact / Manager*

Address*

Company Contact Number*

Company Email*

APPRENTICESHIP INFORMATION

Training Organisation*

Course Name / Type / Qualification*

Course Number

Apprenticeship Start Date*

Training Coordinator*

Coordinator's Contact Number*

Coordinator's Email*

EMPLOYEE REFERENCE

 *

Declaration

We hereby declare that the information in the entry form is correct and that we have read and understood the conditions of entry contained in the ‘Apprentice of the Year Award’ document. We understand that failure to provide correct information may result in disqualification. We agree to participate in any media activity surrounding this competition. We also agree to give open and unimpeded access to the named apprentices’ personal progress report, and details contained within, from the training organisation, and give permission to talk direct to them on this matter.*
Agreed