Please enable JavaScript in your browser to complete this form.Name *FirstLastLiteracy (reading and writing) Selected Value: 1 Using the Scale of 1 to 5 please indicate your current skills ( 1 being the lowest skill level, 5 being the highest)Numeracy Selected Value: 1 Using the Scale of 1 to 5 please indicate your current skills ( 1 being the lowest skill level, 5 being the highest)IT Skills Selected Value: 1 Using the Scale of 1 to 5 please indicate your current skills ( 1 being the lowest skill level, 5 being the highest)ESOL (where relevant) Selected Value: 1 Using the Scale of 1 to 5 please indicate your current skills ( 1 being the lowest skill level, 5 being the highest)Would you be interested in any of the following training?Digital Fabrication2D Graphics and Design3D Graphics and Design3D Printing3D ModellingJewellery MakingUp cycling TextilesCarpentryDIYUpcyling FurniturePainting & DecoratingHealth & SafetyConfidence BuildingVolunteeringMoney ManagementInterview TechniquesBasic ITJob SearchingPunctualityGoodNeeds improvementTimekeepingGoodNeeds improvementOrganisation skillsGoodNeeds improvementBudgeting skillsGoodNeeds improvementCurrent CVGoodNeeds improvementWork experienceGoodNeeds improvementEMPLOYMENT: What is your current employment status?EmployedSelf-employedUnemployedInactive - not looking for workInactive - currently studyingPrefer not to dayWhat sectors have you, or do you currently worked in?Accountancy, banking and financeAccountancy, banking and financeBusiness, consulting and managementCharity and voluntary workCreative arts and designEnergy and utilitiesEngineering and manufacturingEnvironment and agricultureHealthcareHospitality and events managementInformation technologyLawLaw enforcement and securityLeisure, sport and tourismMarketing, advertising and PRMedia and internetProperty and constructionPublic services and administrationRecruitment and HRRetailSalesScience and pharmaceuticalsSocial careTeacher training and educationTransport and logisticsWhat sectors would you like to work in?Accountancy, banking and financeAccountancy, banking and financeBusiness, consulting and managementCharity and voluntary workCreative arts and designEnergy and utilitiesEngineering and manufacturingEnvironment and agricultureHealthcareHospitality and events managementInformation technologyLawLaw enforcement and securityLeisure, sport and tourismMarketing, advertising and PRMedia and internetProperty and constructionPublic services and administrationRecruitment and HRRetailSalesScience and pharmaceuticalsSocial careTeacher training and educationTransport and logisticsYou can select multiple optionsIn some sectors, drug and alcohol testing can take place at interview, induction or throughout employment. Is this something that may be an issue for you or affect the types of jobs you would apply for?YesNoAre you interested in self-employment/social enterprise?YesNoHow often do you currently look for work?DailyWeeklyOccasionallyNot currentlyWhat is your preferred schedule for work/study?Part-timeFull-timeDaysEveningWeekendShiftsTerm-time / school hours onlyYou can choose multiple options - if applicableIs there anything that restricts you from working?i.e. Health, Childcare, Caring responsibilitiesHealth and Wellbeing: Do any of the following apply to you?Mental Health IssuesPhysical Health IssuesVisual ImpairmentHearing ImpairmentLearning DifficultiesPlease select any of the option which affect youDo you have any other, or a specific health issue which affects you?MotivationVery goodAdequateNeeds improvementSelf EsteemVery goodAdequateNeeds improvementConfidenceVery goodAdequateNeeds improvementPositive OutlookVery goodAdequateNeeds improvementAnxietyNot currently experiencingAdequateNeeds improvementLow MoodNot currently experiencingAdequateNeeds improvementYour Goals:Do you have any career, education or personal goals you would like to complete in the near future?What activities are you currently doing, or completed recently which are helping to improve your skills?Is there anything holding you back or might stop you from achieving these?Do you need help with any of the following?ChildcareCare responsibilitiesIdentificationRight to workBank accountHousingPlease select any of the option which affect youDo you have access to the internet?YesNoTransport: Do any of the following apply:Have a Driving LicencePoints on LicenceAccess to a vehicleHow would you get to work if you don't have your own vehicle or are unable to drive?Convictions: Do any of the following apply:Pending court hearingsCurrent convictionsSpent convictionsFinance: Do any of the following apply:Personal debt problemsAssistance with personal budgeting requiredSubmit Share this:TwitterFacebook
