AGE Full Application
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LEP AGE Grant Application Form

For full details of the application form go to page 2

FOR OFFICE USE ONLY

  • Enquiry submission date: 00:00:00
  • Enquiry Reference Number: 0
  • Company name:
  • Application form submitted: 23/10/2017 03:20:33

Apprentice 1
  • 13 week notice with/ without NMW sent on ___/___/___
  • SIT evidence checked on ___/___/___
  • Payment:
  • Top-up criteria: __________
  • Comments:
Apprentice 2
  • 13 week notice with/ without NMW sent on ___/___/___
  • SIT evidence checked on ___/___/___
  • Payment:
  • Top-up criteria: __________
  • Comments:
Apprentice 3
  • 13 week notice with/ without NMW sent on ___/___/___
  • SIT evidence checked on ___/___/___
  • Payment:
  • Top-up criteria: __________
  • Comments:
Apprentice 4
  • 13 week notice with/ without NMW sent on ___/___/___
  • SIT evidence checked on ___/___/___
  • Payment:
  • Top-up criteria: __________
  • Comments:

Existing login to resume application

Email:
Access Code:
Forgotten password?

*
  Field is Required
Date & Time: 23/10/2017 03:20:33
Enquiry Key:

Business Details:

Title *
Forename *
Surname *
Registered business name *
Telephone Number *
Email *
Alternative Telephone
Alternative Email
Postcode:
Building Name:
Secondary Name:
Street:
District:
Town:
County:
No. of Employees *
No of apprentices you have employed in last 12 months (not including apprentices listed on this application form) *

Have you employed apprentices and benefited from government (Skills Funding Agency) apprenticeship funding since September 2010? *

If you have offered apprenticeships for 16-24 year olds since September 2010 and have benefited from government (Skills Funding Agency) apprenticeship funding, have you given a permanent contract of employment to at least one of these previous apprentices following their apprenticeship? *

Apprentice 1:

Name *
Framework to be studied *
Date Apprentice starts/started Employment *
Date Apprentice started training programme with Provider *
Date of Birth *
Age at the start of training
Please let us know if you are planning to claim the £800 “Top-up” grant for this Apprentice, based on the following criteria (please tick all that apply)?






* Please note that this is different from the Apprenticeship Minimum Wage.
For current National Minimum Wage rates, please go to https://www.gov.uk/national-minimum-wage-rates
Starting hourly rate of pay *
Contracted weekly hours the Apprentice is employed for *
Is this a new employee to your company ?
Training Provider: *
ULN Number*: *
* You may need to contact the training provider for this information

Apprentice 2:

Name
Framework to be studied
Date Apprentice starts/started Employment
Date Apprentice started training programme with Provider
Date of Birth
Age at the start of training
Please let us know if you are planning to claim the £800 “Top-up” grant for this Apprentice, based on the following criteria (please tick all that apply)?






* Please note that this is different from the Apprenticeship Minimum Wage.
For current National Minimum Wage rates, please go to https://www.gov.uk/national-minimum-wage-rates
Starting hourly rate of pay
Contracted weekly hours the Apprentice is employed for
Is this a new employee to your company ?
Training Provider:
ULN Number*:
* You may need to contact the training provider for this information

Apprentice 3:

Name
Framework to be studied
Date Apprentice starts/started Employment
Date Apprentice started training programme with Provider
Date of Birth
Age at the start of training
Please let us know if you are planning to claim the £800 “Top-up” grant for this Apprentice, based on the following criteria (please tick all that apply)?






* Please note that this is different from the Apprenticeship Minimum Wage.
For current National Minimum Wage rates, please go to https://www.gov.uk/national-minimum-wage-rates
Starting hourly rate of pay
Contracted weekly hours the Apprentice is employed for
Is this a new employee to your company ?
Training Provider:
ULN Number*:
* You may need to contact the training provider for this information

Apprentice 4:

Name
Framework to be studied
Date Apprentice starts/started Employment
Date Apprentice started training programme with Provider
Date of Birth
Age at the start of training
Please let us know if you are planning to claim the £800 “Top-up” grant for this Apprentice, based on the following criteria (please tick all that apply)?






* Please note that this is different from the Apprenticeship Minimum Wage.
For current National Minimum Wage rates, please go to https://www.gov.uk/national-minimum-wage-rates
Starting hourly rate of pay
Contracted weekly hours the Apprentice is employed for
Is this a new employee to your company ?
Training Provider:
ULN Number*:
* You may need to contact the training provider for this information

Bank Account Details:

Bank Account Name *
Number *
SortCode *
In order to comply with Financial Regulations and Anti-money Laundering Regulations and Responsibilities, please attach a company letter headed document (in PDF format) which must contain the following: your LEP AGE reference number, your company bank account name, your company bank account number and sort code. This document must be signed by an authorised person. *
Files Uploaded:
FOR OFFICE USE ONLY.docx