Partners

Please complete this form if you work for CITB or NHBC and would like to refer in a business for a quote for a shared apprentice.

Intermediary Partner making referral

Referrer Name*

Referrer Email address*

Legal Entity Name of Business*

Company Registration Number (Companies House Number) or Business Owners Name if not Limited Company*

Host Company contact email address for quote

Telephone Contact for Business

Number of Hours per week the apprentice would normally be expected to work including those spent on Off the Job Training*

The hourly rate of pay the business wishes to pay. Please put NMW if this is to be at NMW rates. *

Registered address of the Host Company*

The site address that the host company will be working at. *

The proposed Apprenticeship standard*

The initial duration of the placement planned in months (min 6 months)*

The expected month and year the Apprenticeship will start*

Please provide any other relevant information to help us process this quote, including any details regarding grants.