APPRENTICESHIP TRAINING AGREEMENT (HR-F034) Subscribe APPRENTICESHIP TRAINING AGREEMENT Apprenticeship Training Agreement & Deployment Framework (HR-F034)SECTION 1: THE TRIPARTITE IDENTIFICATION & STANDARD Title- Select -MrMrsMissMsMxOtherStaff Member NameStaff_IDDate of BirthOperating Local Authority- Select -HaringeyIslingtonBarnetWaltham ForestCamdenHackneyBrentHarrowRedbridgeNewhamCity of LondonWestminsterTower HamletsBarking and DagenhamHaveringKensington and ChelseaHammersmith and FulhamEalingHillingdonHounslowSouthwarkLambethLewishamGreenwichWandsworthRichmond upon ThamesMertonKingston upon ThamesSuttonBexleyBromleyCroydonOtherAssigned Workplace MentorComplex Care WorkerSenior Care Worker / MentorField SupervisorCare Coordinator / Rota SchedulerClinical LeadQuality Assurance / Compliance OfficerHR / Recruitment AdministratorImplementation ResearcherDeputy Care ManagerRegistered Care ManagerSECTION 2: APPRENTICESHIP STANDARD & STATUTORY TIMELINESExternal Training Provider (College/Institution)Primary Regional College PartnerNational Skills Academy Approved ProviderCity & Guilds Direct Delivery PartnerPearson Edexcel Approved CentrePending Allocation / TBCTraining Provider Assessor/Tutor StatusAssessor Allocated & Tripartite Induction CompleteAssessor Allocated (Awaiting Initial Meeting)Allocation Pending from Training ProviderTemporary/Cover Assessor Currently AssignedExternal Training Provider (College/Institution)Primary Regional College PartnerNational Skills Academy Approved ProviderCity & Guilds Direct Delivery PartnerPearson Edexcel Approved CentrePending Allocation / TBCApprenticeship Standard Enrolled UponLevel 2 Adult Care WorkerLevel 3 Lead Adult Care WorkerLevel 4 / 5 Leader in Adult Care (Management)Business Administrator Level 3 (Office Staff)Level 3 Senior Healthcare Support WorkerLevel 5 Nursing AssociateLevel 3 Team Leader / SupervisorStart DateHas the Care Certificate been completed previously- Select -YesNoN/AGenerate Care Certificate completion mandate - Select -System generated a 12-week Care Certificate completion mandate before Level 2/3 coursework begins)Statutory Pay Review Trigger- Select -I confirm a calendar alert has been set for exactly 12 months from the Start Date to review the apprentice's wage against National Minimum Wage age brackets (Required by HMRC).Contracted Working Hours per weekUNDER 18: Permanent restriction- Select -One dedicated block day per week.Two dedicated half-days per week.Block release (e.g., one full week per month).Integrated daily shadowing (Requires rigorous daily logging and manager oversight).Does the Apprentice require Functional Skills training (Level 2 Maths/English)?- Select -YesNoN/AFunctional Skills training- Select -I confirm that study time for Functional Skills will be provided IN ADDITION to the required OTJ training hours.SECTION 3: DEPLOYMENT & SAFETY RESTRICTIONS (Safe QS6)Is the apprentice under 18 years of age?- Select -YesNoIs the apprentice under 18 years of age?- Select -UNDER 18: Permanent restriction on lone domiciliary visits. Must always be accompanied by a qualified adult workerSupervision Status (First 12 Weeks)- Select -100% Direct Shadowing (Apprentice never visits a service user alone).Direct Supervision (Apprentice performs tasks while Mentor observes in the same room).Restricted Duties (Until Formally Signed Off by Assessor)- Select -Cannot administer Medication (Level 2/3 must be signed off on HR-F022).Cannot operate Moving and Handling equipment (Hoists/Stand-aids).Cannot undertake delegated healthcare tasks (e.g., Catheter care, PEG feeding).Cannot manage service user finances.Cannot act as the sole responder to emergency out-of-hours calls.Competency Gateway Assessment Date if the apprentice is safe to begin solo visits for basic personal careSECTION 4: MENTORSHIP, WELLBEING SUPPORT & TRIPARTITE DECLARATIONFrequency of Mentor 1-to-1 Meetings (Excluding academic tutor visits)- Select -Weekly (Standard for first 3 months)Bi-weeklyMonthly (Only permitted after month 6)Does the apprentice require any reasonable adjustments for their learning?- Select -None Required (No adjustments disclosed)Cognitive / Specific Learning Difficulty (e.g., Dyslexia, extra time)Mental Health / Neurodivergence (e.g., Anxiety, chunked deadlines)Sensory / Physical Impairment (e.g., Screen readers, ergonomic equipment)ESOL / Language SupportComplex Needs (Requires bespoke 1Apprentice Declaration- Select -I agree to actively engage with my training, accurately log my Off-the-Job hours, and never undertake a care task I have not been explicitly trained and signed off to performMentor / Supervisor Declaration- Select -I agree to provide constructive feedback, protect the apprentice's study time, and ensure they are not pressured to undertake solo visits beyond their assessed competency level.Mentor / Supervisor Declaration- Select -I confirm this apprenticeship structure complies with ESFA funding rules, HMRC minimum wage regulations, and CQC Safe Staffing guidelines. I authorise this training plan.Next Review Date:SUBMIT FORM
