Please complete the form below. All fields need to be filled in to receive our opportunities.

Please note our online services are available for eligible students across the UK, but our face to face events and paid job opportunities are mostly located in London

Eligibility

The Brokerage is a charity. That means we are not able to work with every young person. Please answer these questions to help us work out if you are eligible for our programmes.

Do you live in the UK?

Yes, in Greater LondonYes, outside Greater LondonNo

Are you eligible to work in the UK?

YesNo

What is your current education stage?

Do you/did you attend a fee-paying secondary school or sixth form?

YesNo

Did you achieve a grade 4 or higher in your Maths, English Language AND English Literature GCSE?

YesNo

Unfortunately you are not eligible for our programmes. Thank you for taking an interest in The Brokerage. If there are extenuating circumstances we should take into account, please click here.

Personal details

Please note: The first and last names you give must be the same as the names on your passport (if you have one).

First name

Last name

Date of birth

Mobile (We will use this to text you. Please enter your mobile number with the UK international code '44' and without the '0' at the start. E.g. 07985xxxxxx would be entered as 447985xxxxxx)

Email (personal email, not your school/college/uni email address)

Which gender do you most identify with?

Self-described gender

Which ethnicity do you most identify with?

Other Ethnicity

Do you have a disability or medical condition that we would need to be aware of?

Please provide more information about your disability or medical condition

Your home postcode

Which borough do you live in?

Which school/college do you attend? (if your school is not on the list please use the next box to enter the name of your school)

Enter your school here if it is not on the list

What grades did you achieve in the following GCSE subjects?

Maths

English Language

English Literature

A Levels

Please let us know about your A level (or equivalent) qualifications. If you did not study UK qualifications you can let us know what you studied in the box below.

Qualification 1 type

Qualification 1 subject (please choose the closest if the exact qualification is not shown)

Qualification 1 predicted grade (if known)

Qualification 1 grade

Qualification 2 type

Qualification 2 subject (please choose the closest if the exact qualification is not shown)

Qualification 2 predicted grade (if known)

Qualification 2 grade

Qualification 3 type

Qualification 3 subject (please choose the closest if the exact qualification is not shown)

Qualification 3 predicted grade (if known)

Qualification 3 grade

Qualification 4 type

Qualification 4 subject (please choose the closest if the exact qualification is not shown)

Qualification 4 predicted grade (if known)

Qualification 4 grade

If your A level (or equivalent) qualifications can't be entered in the boxes above, please list them here

University details

What year will you graduate?

University

If your university is not on the list, please enter it here.

Degree subject area (please choose the subject area closest to your degree)

Degree title

While at university, have you taken part in any internships, work experience or paid corporate work (not including opportunities with The Brokerage)

YesNo

Please provide brief detail about your work experience/internship as an undergraduate

Apprenticeship employer

Apprenticeship job title

Apprenticeship course title

Your plans

What are your future plans?

Other (please specify)

How did you first hear about The Brokerage?

Permissions

Your details, including email address and telephone number, will be used to keep you informed about future opportunities including insight days, careers education and skills development programmes, work experience, internships and job opportunities. You can read more about how we use your data here: Privacy notice.

Please tick the box below to confirm you consent to The Brokerage sending you this information.

I consent for my data to be used for this purpose