Initial Provider Interview Please complete the form below with your details. Candidate name:*Date Date Format: DD slash MM slash YYYY Course of interest:Why are you interested in participating in this course?What work experience do you have? Do you have any experience in warehousing & storage or any prior qualifications or knowledge? Please detail below.Please select if you have any experience of the following: Health, safety & security at work Placing goods in storage Keeping work areas clean Stock taking Developing effective working relationships with colleagues Assemble orders Using equipment to move goods Operating equipment What targets do you have for this course?EligibilityAre you unemployed and in receipt of benefits?*YesNoBenefitJob Seekers Allowance (JSA)Employment Support Allowance (ESA)Universal Credit (UC)Are you employed?*YesNoEmployment HoursLess than 16 per week16-19 hours per week20 hours or more per weekSelf EmployedHave you been resident in England for the past 3 years?YesNoCountry:Date of Entry to UK: Date Format: DD slash MM slash YYYY Do you consider yourself to have a disability and/or learning difficulty and/or health problem? If yes, please describe below as this will help us to provide you with support during your time on programme.
