XS Training

Years of experience in the Electrotechnical Industry

—Please choose an option—Under five years experienceBetween five & ten years experienceOver ten years experience

Can you provide written proof of your experience?
—Please choose an option—YesNo

Full Name (required)

Telephone No.

Email

Address (Street)

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Date of Birth - DD/MM/YY

Gender
—Please choose an option—MaleFemalePrefer Not To Say

What Level 2 Qualifications have you already achieved?
None236 Part 1 - Part A or Equivalent2360 Level 2 or Equivalent2330 Level 2 or Equivalent2365 Level 2 or EquivalentOther - Please Specify Below

What Level 3 Qualifications have you already achieved?
None236 Part 2 (B) or Equivalent2360 Level 3 or Equivalent2330 Level 3 or Equivalent2351 Level 3 or Equivalent2365 Level 3 or Equivalent2357 Level 3 or EquivalentOther - Please Specify Below

Other work-related Qualifications/Certificates (e.g. safety, abrasive wheels, first aid, PASMA, 18th Edition, AM2, Inspection & Testing, related technical certificates etc.)

Have you already achieved AM2 Certificate?
—Please choose an option—YesNo

Do you have any special learning needs?
—Please choose an option—YesNoPrefer not to say

EMPLOYERS DETAILS

Employer Name

Employer Address

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Employer Contact Name

Employer Contact Number

Employer Email

WORK HISTORY AND PRIOR EXPERIENCE

Outline of current job role & responsibilities

Any additional information (work experience etc)

How did you hear about XS Training Ltd?
—Please choose an option—Google / Online SearchEmployer / Work ColleagueFriendFacebookYouTubeElectricians ForumProfessional Electrician WebsiteJIB/ECS WebsiteNAPITOther

Learner Declaration: I declare the information within this form to be a true representation of my understanding and experience - and also give my consent for my details to be stored in line with your privacy policy

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