Page 1 of 7

Application Form

Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Invalid Input
Please provide details of any previous qualifications you may have. (e.g. GCSE, NVQ, HND, BTEC).
Provide dates and grades if known. Please list in chronological order starting with the most recent.
Invalid Input
Please provide details of any professional or other qualifications you may have. List them in chronological order starting with the most recent.
Invalid Input
Employment & Work Experience

Please give details of employment and work experience in chronological order, starting with the most recent.
(Job title/ nature of work/ full or part time, name of organisation / dates from - to)

Invalid Input

Please write a statement to support your application to study on this course. 

Please indicate why you are applying to join this particular programme. This should include:
• Your motivation for wanting to take this particular course and what you expect to gain from attending the course
• What has influenced you to pursue this qualification
• What you consider to be your key strengths
• A description of your ability to work independently and with others.

Invalid Input

References:

Please give the name and contact details of one referee. Silverback Security Academy will contact your referee if a reference is required.

If you have been out of education for some time, you may wish to consider one of the following: Your current or last employer, or training officer, or careers advisor.

If you belong to a relevant organisation (including voluntary organisations), an officer of that organisation.

If you have any difficulty in identifying a suitable referee you should seek advice from Silverback Security Academy staff.

Invalid Input
Declaration The information given on this form is complete, accurate and no information or other material information has been omitted. I confirm that I have read and understand the Data Protection statement below. I hereby consent to Silverback Security Academy Ltd. and MOM Consultancy processing my data on this form or other data obtained from me as an applicant or participant for these purposes.
Invalid Input

Data Protection Act 2018 The General Data Protection Regulations (GDPR) came into force across the UK and the EU in May 2018. The Data Protection Act 2018 in the UK takes into account the protective measures enshrined within GDPR.

The Information Commissioners Office (ICO) is the UK organisation responsible for ensuring GDPR compliance and Silverback Security Academy are registered with the ICO.The information that you give on your application form will be used for the following purposes only:

 a. To enable your application for entry to be considered. 

b. To enable Silverback Security Academy/ MOM Consultancy to compile statistics, or to assist other organisations or individual research workers to do so, provided that no statistical information, which would identify you as a person, is published. 

c. To enable Silverback Security Academy to create and maintain your student record.