21st Century Workplace & Skills, LPPI 18-24 Employment Support Form
Contact and goal setting information to help us understand how we can help you with getting a job, sustaining employment, developing resilience and confidence at work and build up developmental skills.


1) Aged 18-24 years old, reside in the London Borough of Islington and receipt of benefits at the start of the programme.

2) You must sign on at one of the Jobcentres within the London Borough of Islington

3) You must NOT be in employment, education or training at the start of the programme.
Full Name *
What is your date of birth? *
Email *
Address *
Phone number *
At the time of completing this form, are you currently in employment, education or on a training course? *
Please provide your National Insurance Number below. *
Were you referred by an Islington based Jobcentre Plus (JCP)? *
Which Jobcentre Plus (JCP) referred you?
How did you hear about us *
Are you fully committed to finding and securing employment? *
What difficulties or barriers have you faced when looking for work? *
Would you describe yourself as having a disability? *
Have you been employed before? *
Please list the qualifications, certificates and/or awards you hold. *
Outline two short-term employment goals you would like to achieve within the next month. *
Outline two long-term employment goals you would like to work towards also over the next 6-12 months. *
List your top three places and platforms to find jobs vacancies below. *
Tick the industries that you would like to work in. *
List the jobs or types of job you are looking at. *
Would you be interested finding out more about receiving mentoring from a professional? *
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