YES NO

Employed or Apprenticeship

Continuing studies at another College or University

Looking for Work

Not looking for work/not available to start to work (including retired)

Other

Name of College or University:
Name of Course:
Type of Course: Please Select Full Time Part Time

Name of employer:
Type of employment: Please Select In paid employment for 16 hours or more per week In paid employment for less than 16 hours per week Apprenticeship Self employed for 16 hours or more per week Self employed for less than 16 hours per week Voluntary work
Job Title:

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