Date of Birth:
Address Line 1:
Address Line 2:
Preferred Contact Method: PhoneEmailPost
In order that the Company can monitor its Equal Opportunities Policy, applicants are requested to complete this monitoring section. The information will remain confidential to the HR Department. It will not be made available to the interview panel.
Country of Residence:
Date of Entry to Country of Residence:
How would you describe your ethnic origin? ---ArabAsian - BangladeshiAsian - ChineseAsian - IndianAsian - OtherAsian - PakistaniBlack - AfricanBlack - CaribbeanBlack - OtherMixed - OtherMixed - White & AsianMixed - White & Black AfricanMixed - White & Black CaribbeanWhite - BritishWhite - GypsyWhite - IrishWhite - Irish TravellerWhite - OtherAny other ethnic groupPrefer not to say
Please complete 1 of the following:
Military Service Number:
Veteran Service Number:
Parents Service Number:
Military force you or your parents were in: ---ArmyNavyRAFMarinesSpecial ForcesOther - please fill out below
How did you leave the military? ---Normal Service LeaverMedical DischargeWIS (Wounded, Injured, Sick) serviceAdmin DischargeEarly Service LeaverOther - please fill out below
Year of Discharge:
Up to £500 towards equipment to enable you to complete a course at a publicly funded college
Up to £300 for transport to and from a training provider
Up to £300 for accommodation while attending specialist training
Up to £3000 for specialist training course
Up to £150 for clothing for interviews
An immediate family member of ex military service personnel
Permanently reside in the UK
Income Support Letter
Job Seekers Allowance
Employment Support Allowance
(Declaration subject to the Rehabilitation of Offenders Act 1974)
Please give details:
I confirm that this application is, to the best of my knowledge, true and complete. I understand that Attention to Logistics has the right to reclaim any funding if I am found to have provided incorrect information or do not complete my course or do not use the funding provided as stipulated.
If you do not want to receive information from Tilbury on the Thames Trust that isn't related to this application, please tick the box
This is a cash-limited fund, we advise early application to ensure a Bursary for 2018/2019.
Before you send this form please make sure you have done the following:
By using this form you agree with the storage and handling of your data by Tilbury on the Thames.