} else {
}
Maytas Hub
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HGV Skills Bootcamp Application Form
Applicant Details
First name(s)
Last Name
Mobile
E-mail
Date of birth
Address line 1
Address line 2
Town
Postcode
Please select your region
---
East
East Midlands
London
North East
North West
South East
South West
West Midlands
Yorkshire and The Humber
Equality & Diversity
Do you consider yourself to have a long term difficulty, health problem or learning difficulty
---
1 - Has Difficulty/Disability
2 - No Difficulty/Disability
9 - No information provided
If yes, please tick below
04 - Vision impairment
05 - Hearing impairment
06 - Disability affecting mobility
07 - Profound complex disabilities
08 - Social and emotional difficulties
09 - Mental health difficulty
10 - Moderate learning difficulty
11 - Severe learning difficulty
12 - Dyslexia
13 - Dyscalculia
14 - Autism spectrum disorder
16 - Temporary disability after illness (for example post-viral) or accident
17 - Speech, Language and Communication Needs
18 - Down Syndrome
93 - Other physical disability
94 - Other specific learning difficulty (e.g. Dyspraxia)
95 - Other medical condition (for example epilepsy, asthma, diabetes)
96 - Other learning difficulty
97 - Other disability
98 - Prefer not to say
99 - Not provided
X - 15 - Asperger's syndrome
Do you have any medicals conditions that may affect your application for a provisional licence?
---
Yes
No
If so, please provide details. Enter N/A if you do not have any medical conditions
HGV Skills Programme
Our Training Pathways range from:
New HGV Cat C licence (Pathway A), experienced Cat C driver upgrading to Cat C+E licence (Pathway D), experienced HGV driver upgrading to ADR (Pathways E & F) and previous HGV driver refresher with back to wheels Pathway H.
Please select which Training Pathway you are interested in
---
Pathway A3 - Novice to Cat C
Pathway B3 - Novice to Cat C+E
Pathway D3 - Existing Cat C Upgrade to C + E
Pathway E3 - Existing HGV upgrade to ADR Packages & Tankers
Pathway G3 - "Back to Wheels" Refresher into Previous Existing Category
Pathway H3 - "Back to Wheels" Refresher with Upgrade to Cat C+E
Where did you hear about the HGV Skills Bootcamp scheme
---
Google
Gov.uk Website
Jobcentre
Local Training Provider
Mantra Learning
My Current Employer
Other
Recruitment Agency
Social Media
Veterans into Logistics
Employment Status
Are you eligible to work in the UK
---
No
Yes
Have you lived in the UK for 3 years?
---
Yes
No
What is your employment status?
---
Unemployed & not seeking employment
Unemployed & seeking employment
Full-time employed with a Contract of Employment
Part-time employed with a Contract of Employment including zero hour Contract
Self-employed
If unemployed, are you currently claiming benefits?
---
No
Yes
Benefit Type
---
ESA
JSA
N/A
Universal Credit
Length of Unemployment
---
0 - 6 mths
12-23 mths
24-35 mths
36 mths +
6 - 12 mths
If employed, what is the name of your current employer?
Are you looking to gain your HGV licence to progress with your current employer?
---
No
Yes
If yes, has your employer agreed to provide a financial contribution to your training?
---
No
Yes
If you are progressing via your current employer we will contact them to arrange payment. Please provide the following details. Enter N/A if you are not progressing via your current employer:
Name of employer contact responsible for payment
Contact Number
Email Address
If your employer has NOT agreed to provide a financial contribution OR you are currently unemployed, do you have/or already had an interview with a new employer?
---
No
Yes
Name of new employer for your interview
Do you have a conditional job offer from this new employer?
---
No
Yes
If you do not have an interview or conditional offer we can support via our employment links
Please select how many miles you are willing to travel to commute to work
---
0 - 5 miles
10 - 20 miles
20 - 30 miles
5 - 10 miles
50+ miles
Please state the maximum duration you are willing to commute to work
---
0 - 30 mins
30 - 60 mins
60 - 90 mins
90+ mins
If not gaining your HGV licence with your current employer, do you have/or already had an interview with a new employer?
---
No
Yes
Are you happy for us to share your details with prospective employers?
---
No
Yes
I agree to apply for HGV driving opportunities with prospective employers during my Skills Bootcamp
---
No
Yes
I agree to attend any interviews offered to me by prospective employers during my Skills Bootcamp
---
No
Yes
Driving Experience
Do you hold a Cat B licence (car)?
---
No
Yes
If so, when was the licence issued?
How often do you drive?
---
Daily
Do Not Drive
Monthly
Weekly
Please tick all licenses you hold
Full Cat B (car)
Full Cat C
Full Cat C + E
Provisional Cat C
If you hold a Cat C licence (Class 2 rigid HGV) when was it issued?
---
After September 2009
Before September 2009
Do you have any driving convictions?
---
No
Yes
If yes, please provide details, please enter N/A if you have no convictions
Do you have any points on your driving licence?
---
No
Yes
How many points? If you don't have any points on your licence please state 0
Do you give consent for us to check your licence online?
---
No
Yes
Do you have any unspent convictions (driving or non-driving)
---
No
Yes
If yes, please provide details, enter N/A if you have no unspent convictions
Digital Capability
Part of the Skills Bootcamp programme involves online learning courses. If you need additional help with using digital technologies we can provide it.
Do you have any of the devices listed below? Please select more than one if applicable
Android Tablet
Desktop Computer
iPad
Laptop
Smartphone
What Happens Next?
Thank you for providing this information. We will now review your application and subject to meeting eligibility requirements we will invite you to attend a virtual information session, during which we will outline the content of your programme.
Privacy Notices
The Skills Bootcamp programme is funded by the Department for Education and any personal information you provide may be shared with the Department for the purpose of evaluating the programme in accordance with the privacy notice which you can read by clicking links below.
National Logistics Academy Privacy Policy
Privacy Notice for Skills Bootcamps
Skills Bootcamps Privacy Notice Q&A
I confirm that the information I have provided is true and accurate to the best of my knowledge.
Please confirm that you have read and understood the Privacy Notices detailed above
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