Maytas Hub

Apprenticeship Application Form

This form includes 5 sections (contact information, address, employment details, demographics and learning support requirements), spread over 2 pages.

Estimated completion time is around 20 minutes.

You are required to upload a copy of your employment contract as part of this application.
If you are not currently in (or about to start) employment in a dental practice, you cannot submit your application at this time. If this is the case please contact us for more information.

You will need to upload the following documents:

- Photographic ID (Passport / Driving License) *
- 2x Proof of Address documents (utility bill, council tax or bank statement) *
- Employment Contract *
- DBS Certificate (if applicable)
- Residency permit / visa (if applicable)
- Evidence of Additional Learning Needs (if applicable)

Items marked with a red asterisk (*) are required.

By submitting this form you are confirming that you accept our Terms and Conditions and Privacy Policy

1a - Contact Information

Title

First name(s) *
(ensure this exactly matches your photo ID document)

Last Name *

Date of Birth *

Mobile Number *

Phone Number

Email Address *

Confirm Email Address *

National Insurance Number *

Photo ID upload (driving license / passport) *

How did you hear about us? *

My Employer found DNA
My Employer is an existing DNA customer
Referral from another employer
Search engine
Referral from another DNA learner
NEBDN website "find a provider"
Gov.uk apprenticeship website
Other

Emergency Contact Information:
This section is mandatory if you are under 18 years old:

Emergency contact name

Relationship to learner

Emergency contact number

Emergency contact email

End of Emergency Contact section

1b - Address information

Address Line 1 *

Address Line 2

Town *

Postcode *

County *

Country *

How long have you lived at your home address? *

More than 3 years
Less than 3 years

Proof of address (must be less than 3 months old).
Select TWO *

Utility Bill
Bank statement
Council Tax

Proof of address 1 file upload *

Proof of address 2 file upload *

Have you been resident in the UK or European Economic Area (EEA) for the whole of the last 3 years not including holidays? *

Details of entry to UK or EEA

Country prior to entry

Leave status *

Are you an asylum seeker?

Do you have a residency permit or visa?

Residency permit or visa evidence upload

End of page 1. Press the "next" button in the bottom right corner to continue to page 2.