Re:train application form

Apply online

Please fill out the application form below if you wish to receive up to £250 towards training.

Please note - to be eligible to apply, you must fulfil the following criteria:

A current Affinity Sutton resident (or supported by Affinity Sutton supported housing) and
Either currently unemployed, at risk of redundancy or looking to make a change in career direction.

Please complete all sections of the application form.

Application deadline is 31 March 2012


All about you
Full name*
Address*
Postcode*
Date of birth*
Please state your ethnic origin:*
If you selected 'other' please specify here
Telephone number (including dialling code)*
Mobile number
Email
Please confirm which of the following categories you belong to*
Please outline any previous qualifications you hold
Have you received any previous employment support from Affinity Sutton?*	Yes No
If 'yes', please state the project or service you have previously accessed and when
Your course
Name of the course you would like to attend/complete*
Cost of the course*
What level of qualification is the course?*
If you selected other, please specify
Name of college or training provider*
Address of college or training provider (including postcode)*
Telephone number of college or training provider*
Please outline why you would like to attend/complete this course including how you think this will improve your future opportunities or career prospects (maximun 300 words)*
What are your plans for after you have completed this course?*
If the course costs more than £250, please outline how you will meet the outstanding amount (maximum 150 words)
Consent and declaration
If you are successful in your application for funding, the fees for the course will be paid directly to the training provider as stated in your application. We will stay in contact with each beneficiary to ensure that all training opportunities have been successfully completed. There may be occasions where we may ask that those receiving funding for training from Affinity Sutton can be contacted for publicity purposes. This may involve having your photo taken.
If you are not happy to be contacted for this reason, please tick the box	Do not contact me for publicity purposes
I confirm that the details in this application are accurate and correct to the best of my knowledge. I confirm agree to abide with the relevant terms and conditions including monitoring requirements with regard to the use of a ‘Re:train’ grant if I am successful in my application.
Please check this box if you agree with the above paragraph*	Yes
Please confirm amount applied for*