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Levy employee registration

Please complete the form below.

Name of employer

Apprenticeship start date

Apprenticeship course title

Hours Full time Part time

Candidate full name

Postcode

Age group

Ethnicity - How would you describe your cultural or ethnic origin?

Sex Female Male Prefer not to say

Do you consider yourself to have a disability? Yes No prefer not to say

If you answered Yes, please tick the box/boxes that apply to you Learning disability Autism Mental health Learning difficulty Hearing related Sight related Wheelchair user Prefer not to say

Employment status before starting this apprenticeship

We will only use the information you submit to contact you about this scheme, unless the law requires otherwise. See our Privacy Policy for more details

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Leicester Employment Hub

Economic Regeneration Team
2nd Floor (Halford Wing)
115 Charles Street
Leicester
LE1 1FZ

Email. employmenthub@leicester.gov.uk

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