National Careers Service Registration Form

Please complete to access free impartial support from the National Careers Service

Privacy notice: Your information is collected so that we can deliver this service to you. Your information will be handled in accordance with the principles and laws of data protection and at no time will it be used for purposes that are not related to the delivery of Careers Advice by the National Careers Service. For further details of how your data is used, please view the following privacy policies on the National Careers Service and learner records service websites; https://nationalcareersservice.direct.gov.uk/about-us/privacy-and-cookies - a copy can be made available to you by your National Careers Service adviser if you request it. Learning Record Service privacy notice: https://www.gov.uk/government/publications/lrs-privacy-notices

Personal Details

Title

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First Name

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Surname

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Date of Birth

Please complete this field. Minimum value is 01/01/1900. Maximum value is 15/06/2007.

House Number / Name / Street

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Address (Line 2)

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Locality

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Town / City

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County

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Post Code

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Email Address

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Mobile Telephone Number

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Gender

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Please confirm that you are eligible to live and work within England

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Personal Information and Consent

We collect information in relation to Racial/Ethnic Origin - to enable us to monitor our performance against our equality and diversity objectives, and for no other reason.

Do you agree for us to collect this information?

Tick box for YES

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What is your Ethnicity?

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We collect information in relation to health to ensure that we are targeting our service to meet service priority groups, and for no other reason.

Do you agree for us to collect this information?

Tick box for YES

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Do you consider yourself to have a health condition and or learning difficulty?

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What is your primary health condition and/or learning difficulty?

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What is your secondary health condition and/or learning difficulty?

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The National Careers Service is keen to find out how satisfied you are with the service and how you progress after using it. We use independent researchers (such as Ipsos) to make contact with you.

Would you be willing to take part in this research to help us to improve the services we provide?

Tick box for YES

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Do any of these describe you? (Please tick all statements that apply)

18 to 24 not in education, employment or training

Without a level 3 Qualification or above

Unemployed or Not looking for work for more than 12 months

Single parent with at least one dependent child living in the same household

Adult with special educational needs and/or disabilities (by self declaration)

50+ Unemployed or at Risk of unemployment e.g. Redundancy

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