} else {
}
Maytas Hub
5.29.9110.1
Maytas Hub
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New Learner Application
Please complete this form in full.
Section 1 - Individual Learner Information
Title
---
Miss
Mr
Mrs
Ms
First Name(s)
Surname
Date of Birth
National Insurance Number
Address line 1
Address line 2
Town
Postcode
Email
Mobile Number
Landline Number (Optional)
Section 2 - Gender/Ethnicity/Disability
Gender (options under "Other")
---
Female
Male
Other
Please Choose How You Identify
---
AFAB
Agender
Aliagender
AMAB
Androgyne
Aporagenda
Bigender
Binarism
Body dysphoria
BOI
Butch
Cisgender
Cishet
Cisnormativity
Cissexism
Demiboy
Demigender
Demigirl
Dyadic
Femme
FTM
Gender Apathetic
Gender Binary
Gender Expansive
Gender fluid
Intergender
Intersex
Maverique
MTF
Multi Gender
Nonbinary
Omnigender
Pangender
Polygender
Transsexual
Ethnic Group
---
98 - Other
AR - Arab (Eng 47; Wal 50)
B - Bangladeshi (Eng 41; Wal 33)
BA - African (Eng 44; Wal 22)
BC - Caribbean (Eng 45; Wal 21)
BO - Black Other (Eng 46; Wal 29)
C - Chinese (Eng 42; Wal 34)
I - Indian (Eng 39; Wal 31)
IT - Gypsy/Irish Traveller (Eng 33; Wal 14)
M - Mixed - Any other mixed background (Eng 38; Wal 49)
MA - Mixed - White and Asian (Eng 37; Wal 43)
MB - Mixed - White and Black African (Eng 36; Wal 42)
MC - Mixed - White and Black Caribbean (Eng 35; Wal 41)
N - Not provided (Eng 99; Wal 99)
O - Other (Eng 98; Wal 80)
OA - Other Asian (Eng 43; Wal 39)
P - Pakistani (Eng 40; Wal 32)
RO - LLWR Roma (Wal 16)
W - Welsh/English/Scottish/Northern Irish/British (Eng 31; Wal 12)
WI - Irish (Eng 32; Wal 13)
WO - White Other (Eng 34; Wal 15)
Would you say you have a disability?
Yes
No
Disability Type
---
1 - visual impairment
2 - hearing impairment
3 - disability affecting mobility
4 - other physical disability
5 - other medical condition (for example epilepsy, asthma, diabetes)
6 - emotional/behavioural difficulties
7 - mental health difficulty
8 - temporary disability after illness (for example post-viral) or accident
9 - profound complex disabilities
90 - multiple disabilities
97 - other
99 - not known/information not provided
X98 - no disability
Section 3 - Past Achievements
Have you ever completed a Functional Skills/Essential Skills/Scottish Core Skills or a Key Skills qualification?
Yes
No
Please upload your Functional/Essential Skills/Scottish Core Skills or Key Skills Certificates
Please upload a copy of your current Curriculum Vitae (CV)
Accepted formats: MS Word / .PDF / Google Docs
Section 4 - Referral & Choices
Where did you hear about us?
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Job Centre
Local Media
National Apprenticeship Service
Newspaper Advert
Salon Webpages
Word of mouth
What type of Apprenticeship are you looking for?
---
Barbering
Beauty
Hairdressing
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Thank you. Please check your details carefully and submit the form.
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The data submitted will be held for administration purposes only. This data will never be shared and can be deleted on request in writing.
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