Apply to Steps to Work lite

Apply to join our Steps to Work lite programme.

Name *

Address *

Phone number(s) *

Email address *

Date of birth *

Why do you want to join Steps to Work lite? *

How keen are you to get a job (on a scale of 1 to 10? Why is getting a job important to you? *

What are your achievements? *

What are your hobbies and interests? *

Is there anything else you think we should know about you? *

What sort of work are you interested in? *

What experience do you have? *

What are your skills? *

What support could you need in the workplace? *

Are you in receipt of any benefits, if so which ones? *

5. Is there anything else you want to tell us to support your application? *

Who can tell us about you? Can you give us the details of two people who know you well can tell us about you? This cannot be a family member but could be a college tutor, social worker or a family friend. *

I declare that the information that I have provided on this application form is correct. *

Yes

We will hold your personal information to allow us to carry out our agreement with you and process your information. You can change your preferences at any time. Please indicate if you consent to us retaining your information. *

I consent

I do not consent