Veterans into Logistics

referral form

Fill in the form below and we will be in touch with how we can help and what training is available to you. If you need more information, learn more here.

Title*First name*Middle nameLast name*Known asReferral sourceTelephone numberEmail address *House name/number and Street*City*CountyPostcode*Age*Date of birth*NI Number*Driving Licence Number*Type of Licence Held*Provisional HGV*Do you have 6 points or more currently on your licence? If you do you will not be eligible for funding at this time.*Have you been disqualified from driving in the last 11years*Do you have your own transport?*Support Required*Service number*Branch*Regiment*Sub unit*Year of enlistment*Year of discharge*Do you have elcas credits*Tell us about your transition back to civilian life*Why do you want to be a HGV driver?*Are you currently employed*Please list any employment you have had since leaving service; if you are currently employed please use today's date as the 'to' date* - Please add 'Job title, Employer, Dates from DD/MM/YYYY and to DD/MM/YYYY. 'Add' multiple entries if multiple jobs have been held.DATA SUBJECT CONSENT*
I hereby consent that Veterans into Logistics can process my personal data for the purpose of providing me with support and training to complete my driving course and assess my needs. By entering your information into this form and submitting it to us you give your consent for this processing. Your details are safe with us. We may need to share your details in order to deliver support eg with the DVSA when booking HGV tests for you, however we will never sell them or swap them with anyone else. You can view our full Privacy Notice at https://www.veteransintologistics.org.uk/privacy or call our Customer Care team for a copy. You can also change the way we contact you by emailing info@veteransintologistics.org.uk or calling 0161 527 9490*YesNoDECLARATION*
I confirm that if Veterans into Logistics provide me with support through funded HGV driver training or CPC, I acknowledge it is my responsibility to attend confirmed booked theory and practical tests. If I fail to attend, without giving at least 5 working days notice, the charity has the right to charge me for any fees lost and, or any new test booking fees.YesNo

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referral

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