• Student Work Experience Agreement & Placement Details (Year 12-2024)

Student Work Experience Agreement & Placement Details (Year 12-2024)

  1. Your first name *
  2. Your surname *
  1. Your Form Group *
  2. Date *

WORK PLACEMENT DETAILS

  1. Organisation/Company *
  2. Contact name *
  1. Address *
  2. Postcode *
  1. Telephone number *
  2. Employer's E mail address *
Type of work (eg: admin, childcare, engineering, etc) *

As the named student, by clicking Submit, I agree to take part in this work experience scheme. To hold in confidence any information about the employer's business which I may obtain during this work period and not to disclose such information to another person without the employer's permission.

Please tick the 'Send me a copy of this form' box below, for your record.

Please leave the next box blank or your submission will not be accepted: