If you need any help with this form, you can call us on 0300 222 5742.
You need to get the person's consent before you apply for the service for them.
They need to be between 15 and 25 years old to use the Career Pathways service.
There is advice for disabled people looking for work and advice for disabled people in work on our website.
You can also call our helpline for advice on 0808 800 3333.
Career Pathways is a service for disabled people.
Register for Career Pathways London
Register for Career Pathways Leeds
Career Pathways is only available online and by phone for people outside of London and Leeds.