Registration Form | Mainstream Group

Step 1 of 3

Personal details

Title *

First Name *

Last Name *

NI Number *

Date of birth *

Driving Licence Number *

Gender *

Ethnicity *

Address details

Address 1 *

Address 2 *

Town *

County *

Postcode *

Country *

Your contact details

Mobile Number *

Email *

Emergency contact details

Emergency Contact *

Emergency Contact Number *

Step 2 of 3

What is your employment status prior to Bootcamp? *

Employment

Do you currently claim Universal Credit? *

Universal Credit

Step 3 of 3

Your commitments / general

Do you have caring responsibilities for children or other adults? *

Where did you hear about the course? *

Your health

Do you consider yourself to have a disability, health problem or any learning difficulty? *

Do you have a physical or mental impairment or condition that has a 'substantial' and 'negative' effect on your ability to do normal activities? *

Do you consider yourself to have a disability that limits your ability to work? *

Do you receive a core disability benefit? *

Do you have/have ever had an Education Health Care Plan? *

If yes, please provide the Borough issued in:

Your education

What is the highest level of qualification that you have received so far? *

Do you have plans to work alongside Bootcamp? *

If you are employed what is your gross annual income? *

Are you attending this bootcamp via your current employer? *

Occupation group - Please give your most recent occupation *

Industry / Sector (Please give your most recent)

What pathway are you interested in?

What HGV Skills Bootcamps location would you like to attend your practical training at? *

Have you taken any steps to obtain your HGV licence? *

Privacy Notice

Please confirm you have read and agree to the HGV Skills Bootcamp privacy notice.

I agree