Kickstart 1 (FEIE CIC)
Eligibility and Application Form for Employees interested in Paid Internship of 16 -24 year olds
Email *
Company Name
Company Number given by Companies House (If a Charity type 0)
Name of Company Contact
Email Address of Company Contact
Company phone number
Address of job location
Region of Job Location - Scotland/Northern Ireland/Wales/North East/North West/Yorkshire & Humber/West Midlands/East Midlands/South West/South East/East of England/Greater London*
Do you agree to FEIE CIC visiting your location to carry out a Risk Assessment?
Clear selection
Do you agree to FEIE CIC being your Kickstart Gateway?*
Clear selection
Number of Kickstart positions required? *
What is/are the title/s of the job/s?*
Are you able to provide Job Descriptions and Person Specifications for each role? *
Clear selection
Would you have been able to create this job placement without the support of the Kickstart Scheme? *
Clear selection
Do the planned Kickstart roles replace any other vacancies or current employees? *
Clear selection
Do you agree that the job placement would be made available to only DWP, Job Centre Plus and or Universal Credit claimants between the ages 16 and 24 years old? *
Clear selection
Do you have Employer Liability Insurance?*
Clear selection
Have you ever been declared or are you in the process of Bankruptcy? *
Clear selection
Are you agreeable to us providing the set up and support to you and the relevant employability training and support to your placement/s throughout the life of the scheme?*
Clear selection
If your answer was no to the previous question how will you address these requirements effectively?
How did you hear about this service?*
I/We confirm that the information provided here is true and accurate to the best of my/our knowledge. Sign & Date to confirm this: *
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