Application Form

"The best experience I've had in my life."

Bramber Graduate

Please note that we do not accept self-referrals at this time. Step 1 of the application form must be completed with the applicant and in one session as your details will not be saved. Please ensure you have all required information before completing the form.

Deadline for submission is 17th of May. The next workshops will take place from 3rd of June to the 22nd of July on Mondays from 10:30am to 3:30pm. Please email referrals@bramberbakehouse.co.uk with any questions.

Step 1 of 4

25%

Section 1: Questions for the applicant

Ahead of the programme, it is helpful for us to understand what you wish to gain from the baking, wellbeing and life skills workshops. Your answers will not impact your application, rather it helps us ensure our programme meets your needs.

Why would you like to attend the Bramber Bakehouse programme?

Are you able to commit to the full 8 sessions of this programme:

Yes

Are you involved in any activities or courses where you learn new things? (e.g. art course, language class etc.)

Are you currently working or volunteering?

Are there any jobs or activities you would like to be doing?

Section 2: Applicant's Details

Personal information

First Name

Last Name

Preferred Name

Date of birth

DD slash MM slash YYYY

Address

Address line 1 Address Line 2 City Postcode

Type of accommodation

Email address

Please use the applicant's email address, if you do not know it leave this field blank. If you are filling in this form on behalf of someone else we will ask for your email address later in the form.

Phone number

Ethnicity

Nationality

First language

Sexual orientation

Religion

Health

Does the applicant have any access requirements? (E.g. physical, communication needs, neurodivergence, etc.)

Does the applicant have any allergies or dietary requirements? (E.g. Halal, Vegetarian, etc.)

Does the applicant have any other medical conditions or additional needs? (E.g. Diabetes, Pregnancy, etc.)

Current circumstances

Please select the immigration status of the applicant:

Asylum Seeker

Limited Leave

Refugee Status

Indefinite Leave to Remain

Humanitarian Protection Status

EU Citizen

Discretionary Leave to Remain

British Citizen

Please select all that apply to the applicant's NRM status (if applicable):

Reasonable Grounds Decision

Negative Decision

Positive Conclusive Grounds

Other

Applicant's NRM status - other

Does the applicant have right to work in the UK?

Yes

Background

Please select all that apply to the applicant. They have experienced:

Domestic servitude

Gender-based violence

Sexual exploitation

Displacement

Forced labours

Other

Short description of history

(please include dates if available):

If applicable, time since the applicant was placed into safe housing:

Support Needs

Why are you referring the applicant to our baking, wellbeing, and life skills programme?

Please list any other services the applicant is currently engaging with:

To help us provide the best level of care whilst the applicant is with us, please share any information you think might be helpful for us to know. (E.G. Have they engaged or are engaging with mental health or drug and alcohol support? Are there any triggers, topics, or words to avoid?)

Does the applicant have any dependents or childcare responsibilities?

Do you have any cultural or religious requirements during the course (prayer time, observing celebrations, fasting etc)?

Does the applicant have a good level of conversational English (ESOl entry 2 at least)?

Yes

Section 3: Risk Assessment

In order to provide the best care, we require a risk assessment to be completed alongside the applicant. This will help us understand our students' needs and any possible issues we need to be aware of. Please fill out this form with as much detail as possible.

We understand this is sensitive personal data and shall be treated with the utmost confidentiality in line with the requirements of the Data Protection legislation. Please note, we are unable to accept applicants who present high risk of harm to themselves or others.

Low

Isolated or occasional instances of non- significant incidents

Medium

More frequent/regular incidents and/or of a more significant nature

High

Likely, severe or significant

Please summarise what you already know about risks associated with client:

Personal Safety

Is the applicant in contact or do they initiate contact with unsafe people?

Low

Medium

High