Apprenticeship Briefing Fields marked with (*) are mandatory Course Date Please select 6th December 12:00 to 1:00pm 16th January 12:00 to 1:00pm 24th April 12:00 to 1:00pm Choose your preferred date. These sessions are webinars due to take place on Teams. Are you a potential Apprentice or a Line Manager of a potential Apprentice? Potential ApprenticePotential Line Manager to an Apprentice Title Please select Mr Mrs Miss Ms Dr Professor Rev Prefer not to disclose Name First name Last name Your Job Title Email Ext. Number Staff ID Number College or Professional Services Please select College of Arts and Law College of Engineering and Physical Sciences College of Life and Environmental Sciences College of Medical and Dental Sciences College of Social Sciences Professional Services Hospitality and Accommodation Services School/Area Employee Group Please select Birmingham Academic Birmingham Professional - Academic-Related Birmingham Professional - Support Staff Line Manager's Name First name Last name Line Manager's E-mail Line Manager's Phone Preferred Contact If you are a member of staff who does not have regular access to emails or a line-manager booking on behalf of another staff member, please confirm what contact information should be used for course confirmations and joining instructions. Additional Information/Special Requirements Consent of Data Submission By submitting an online booking form and accepting a place on the course, you consent to us holding the submitted data for up to two years for the purposes of bookings and evaluation. If you have any queries about the data we hold, please get in contact via pod@contacts.bham.ac.uk. Submit