Application / Referral Form

If you or a a girl or woman that you know would benefit from our support, please fill in this form.

Academies - Application Form

This form helps us learn more about you so that we can support you in the best way possible. All information is held confidentially by the ILT and only shared with individuals who are directly responsible for your development. To ask any questions, please contact us at [email protected]

Please note that all questions with an asterix (*) must be completed

1. Are you completing this form for yourself or on behalf of someone else? *

To be completed by the applicant:

7a. Which organisation is referring you to the ILT? *
Tell us about your education; what are you currently studying? Describe any future education plans.
What qualifications have you earned?
What work experience do you have?
Tell us more about you; what are your strengths? What are your interests / hobbies?
What are the areas you would like to develop? What would you like to learn more about?
12a. Which of our services are you interested in? *
12b. Which pathway are you interested in? *
What type of work experience placements would you like us to find for you?*
14. Do you need to attend with a parent / carer? *
15. What technology do you have access to? *
Select as many as suitable of:
16. What computer skills do you have? *
Select as many as suitable of:
18. Do you need to attend with a parent / carer? *

IMPORTANT COMMUNICATION AUTHORISATION:

To ensure that we follow the right protocols, please confirm if the ILT can communicate with the applicant directly regarding their programme.

Yes, I authorise the ILT to communicate directly.

To be completed by referring partner/ by someone on behalf of the beneficiary:

Your relationship to the beneficiary/ the person you are completing this form on behalf of:
what are they studying? What are their future education plans?
What qualifications has the beneficiary earned?
What work experience does the beneficiary have?*
What are the candidate’s strengths and their interests and hobbies?
What are the areas the beneficiary like to develop and learn about?
What type of work experience placements would the beneficiary like us to find for them?
37. Do they need to attend with a parent / carer? *
38. What technology do they have access to? *
Select as many as suitable of:
39. What computer skills do they have? *
Select as many as suitable of:
What type of work experience placements would the beneficiary like us to find for them?
41. Do they need to attend with a parent / carer? *
Can you tell us more about the candidate’s personality and social skills?
Can you provide some background information to help us fully understand the candidate's needs (family situation, current living arrangements, difficulties, etc.)
What else should the team be aware of?

IMPORTANT COMMUNICATION AUTHORISATION

To ensure that we follow the right protocols, please confirm if the Inspiring Leadership Trust (ILT) can communicate with the applicant directly regarding their programme.

Authorisation *
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