It is a good idea to print out this form before completing on-line as you will need to gather some evidence, dates, information for different parts of this Questionnaire.

Please consider asking a trusted friend, colleague or advisor to help you with this form as it is good to have someone to talk over your answers with.
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1: Employment Details
1.1: Date:07/29/2010
1.2: Organisations Name:
1.3: Employers Address:
  • Ist line of address:
  • 2nd Line of address:
  • Town:
  • City:
  • Post Code:
1.4: Telephone Number:
1.5: Email Address:
1.6: Manager:


2: Personal Details:
    2.1: Name:
    2.2: DOB:
    2.3: Time in Organisation:
    2.4: Time in Present Job:
    2.5: Job Title:
    2.6: Location / Department
2.7: Other positions / responsibilities held in the organisation:

    2.8: Do you have a Curriculum Vitae (CV)
    Yes No
    2.9: If NO, wold you like training to complete one?
    Yes No






    3: Residency
    3.1: Were you born in this country?
 Yes No
    3.2: Country of Origin?
    3.3: Residency status in the UK?
    3.4: How long have you been in the UK?






4: Current Job Role
4.1: List briefly your qualifications / certificates (dates and grades)

4.2: Recent Training Courses (within the last 6 months)

4.3: Do you have any training planned in the next 12 months or are you currently undertaking any training? If so please list

4.4: What training do you think you may need in the future

4.5: What are your goals for the future







5: Skills needed at work
5.1: List the skills and aptitudes you use in your job, with reference to your job description, if you have one. The following topics may act as prompts
A: Prevocational / vocational skills

B: Oral / communication skills

C: Reading skills . understanding Information and data

D: Written Skills / presentation skills

E: Numerical skills (dealing with money or statistics etc.)

F: IT Skills

G: Other skills (including skills you bring from your non-work experience)



6: Areas of strength and areas of development
6.1: What are your areas of strength?

6.2: What are your areas of development?







7: Additional comments and special requirements
7.1: Additional comments

7.2: Special requirements





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Your Advisors Name: