HiddenDate of request MM slash DD slash YYYY PDE/Tutor Name* First Last Learner DetailsFull name (as per ILR)* First Last ULN Email address* Type of course* Apprenticeship Traineeship GLA STEM Programme*Please select...Leadership and Management Level 3Leadership and Management Level 5Leadership and Management Level 7Data Level 4Data Essentials Level 3Project Management Level 4Software Level 4Dev Ops Level 4Fundraiser Level 3Business Associates Level 3HiddenTraineeshipsProgramme*Please select...AM Skills for Business SupportPM Skills for Business SupportPrior Attainment Level*Please select...Level 3Level 2Level 1Entry LevelWork Placement Sector (if known) What device/equipment will the student be using to complete their course's learning/assessment(s)?* HiddenGLA StemProgramme*Please select...Maths level 2ICDL level 3Maths level 2 & ICDL level 3Prior Attainment Level*Please select...Level 3Level 2Level 1Entry LevelWhat device/equipment will the student be using to complete their course's learning/assessment(s)?* HiddenGeneral questionsThe learner expects contact from a member of the Skills for Business Team?* Yes No Please ensure your student is fully informed about Skills for Business, i.e. how contact will be made and why it is a course requirement. Initial Assessment ResultsMaths*Please select...Level 2Level 1Entry level 3Entry level 2Entry level 1English*Please select...Level 2Level 1Entry level 3Entry level 2Entry level 1ICT*Please select...Level 2Level 1Entry level 3Entry level 2Entry level 1Essential Digital Skills*Please select...Level 2Level 1Entry level 3Entry level 2Entry level 1HiddenIs Skills for Business required?Is Skills for Business required?*YesNoMathsEnglishPlease select from the options listed as to why you are making this early referral:*Please tick all that apply A desire to improve Maths and/or English immediately to assist with their course/job role A lack of confidence A low initial assessment level Their employer providing greater flexibility to engage at the start of programme An additional learning need Being a Traineeship or GLA STEM student and requiring an intensive 8-week support programme Other Other details:* Please use this section to provide any further information you deem necessary to adequately support this learner:
