READY TO JOIN THE BLACK APPRENTICE NETWORK Current ApprenticeIndividuals currently enrolled onto apprenticeship Name * First Name Last Name Email * By adding your email, you are giving us permission to send email updates about potential events or newsletters. You have the option to opt out of these when the material is sent over to you. Phone * Country (###) ### #### Gender * Male Female Prefer to self describe Ethnicity Black Caribbean Black African Black other Mixed (Black African & Caribbean & other) Date of Birth * MM DD YYYY City * Bath Birmingham Bradford Brighton & Hove Bristol Cambridge Canterbury Carlisle Chelmsford Chester Chichester Colchester Coventry Derby Doncaster Durham Ely Gloucester Hereford Kingston-upon-Hull Lancaster Leeds Leicester Lichfield Lincoln Liverpool London Manchester Milton Keynes Newcastle-upon-Tyne Norwich Nottingham Oxford Peterborough Plymouth Portsmouth Preston Ripon Salford Salisbury Sheffield Southampton Southend-on-Sea St Albans Stoke on Trent Sunderland Truro Wakefield Wells Westminster Winchester Wolverhampton Worcester York Apprentice Job Title * Company * Industry * Agriculture Automotive Banking Accountancy Consulting/Professional Services Biotechnology Construction Education Energy Entertainment and Media Fashion and Apparel Food and Beverage Healthcare Information Technology Real Estate Telecommunications Tourism and Hospitality Other If "Other": Apprenticeship Start Date * MM DD YYYY Apprenticeship End Date * MM DD YYYY LinkedIn http:// How did you find us? * Word of mouth (e.g. from friends, families, colleagues etc) Instagram TikTok LinkedIn Other If "Other", put down where here Are you an Alumni or Current Apprentice? * Current Alumni Thank you! Aspiring ApprenticeIndividuals not currently enrolled onto apprenticeship but wants to be Name * First Name Last Name Email * By adding your email, you are giving us permission to end email updates about potential events or newsletters. You have the option to opt out of these when the material is sent over to you. Phone * Country (###) ### #### Gender * Male Female Prefer to self-describe Ethnicity Black African Black Caribbean Black Other Mixed (Black African/Caribbean/other & other ethnicity) Date of Birth * MM DD YYYY City * Bath Birmingham Bradford Brighton & Hove Bristol Cambridge Canterbury Carlisle Chelmsford Chester Chichester Colchester Coventry Derby Doncaster Durham Ely Exeter Gloucester Hereford Kingston-upon-Hull Lancaster Leeds Leicester Lichfield Lincoln Liverpool London Manchester Milton Keynes Newcastle-upon-Tyne Norwich Nottingham Oxford Peterborough Plymouth Portsmouth Preston Ripon Salford Salisbury Sheffield Southampton Southend-on-Sea St Albans Stoke on Trent Sunderland Truro Wakefield Wells Westminster Winchester Wolverhampton Worcester York Year Group * Before Year 12 Year 12 Year 13 Level 1-3 Apprentice Gap Year Post-18 List/Name of the Qualification(s) you are studying * Desired Industry * Agriculture Automotive Banking Accounting Consulting/Professional Services Construction Education Energy Entertainment and Media Fashion and Apparel Food and Beverage Healthcare Information Technology Law Real Estate Telecommunications Tourism and Hospitality If "Other": Advanced Level Qualification * A Levels (Advanced Levels) Cambridge Pre-U International Baccalaureate (IB) Diploma T Levels (Technical Levels) Scottish Highers and Advanced Highers Welsh Baccalaureate Other If "Other": LinkedIn http:// How did you find us? * Word of mouth (e.g. from friends, family, colleagues etc) Instagram TikTok LinkedIn Other If "Other", put down where here. Thank you!