Employment and Training Fund

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About the application form

Thank you for your interest in applying for Cobalt’s employment and training fund. Before you complete the form, please make sure you read the guidance and criteria carefully to make sure you are eligible to apply. If you have any queries or require a paper copy of this form, please contact Cobalt’s partnerships team on 0330 303 2222. We also offer a translation service (details are at the end of this form) so please don’t hesitate to get in touch for support.

Applicant Details

Are you a Cobalt Housing tenant?*

Yes

Name

First Last

House number*

Road name*

Postcode*

Date of birth*

Phone*

Email*

Are you currently:

Unemploymed

Part time work

Full time work

Zero hour contract

An active volunteer

How did you hear about the employment and training fund?

Newsletter

Employment adviser

Cobalt staff member

Social Media

If you have selected 'Cobalt staff member', please provide their name below:

Why do you want funding?*

To set up my own business

To pay for a training course

To help me start a job

To help me into volunteering

Other

If you have selected 'other', please tell us what you will use the funding for:

Please describe how you will use the funding*

• Describe what it is you will use the funding for • Describe the course, qualification, certification or equipment it will pay for • Describe how you will then use the course, qualification etc. to get work • Describe why you want to get into this line of work, how long you have been trying to get into this line of work, and what you have been doing previously to get this work • Describe how having this job will change your life

What will the benefits be to you if your application is successful?

Improve my chances to gain work

Increase my confidence

Increase my qualifications and training levels

Improve my self esteem

Improve my personal skills

Improve my finances

Help me gain work experience

Support me moving into voluntary work

Reduce my dependency on benefits

Please list all costs associated with assisting you to gain employment*

Total costs*

Amount available from other sources*

Total costs*

Amount you are putting towards this*

Amount requested from Cobalt Housing*

Please attach proof of costs*

Max. file size: 50 MB.

When will this start?*

If you do not receive funding from Cobalt, will this still go ahead?

If yes, how will it be financed and/or what changes will take place?

Declaration

Ts&Cs*

I confirm that the information contained within this application is true and accurate. I understand that if I am successful in gaining funding towards a training course, I must provide evidence that the training provider is legitimate and I will be attending the course. I agree that the provider can share information about my training with Cobalt Housing. I understand that I will be required to complete a bank account details form in order to receive payment and a monitoring form for evaluation purposes.

Date

MM slash DD slash YYYY

Equality and Diversity Policy

It is the policy of this organisation to provide equal opportunities regardless of sex, race, disability, age, sexual orientation, gender reassignment, religion or belief, marital status, or pregnancy and maternity. We offer a translation service on request. If you require help, or know someone who does, please visit our office or call 0330 303 2222.

Untitled

Employment and Training Fund

Application form

About the application form

Applicant Details

Declaration

Equality and Diversity Policy

Starting your own business