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gschool
Work experience
Work experience referral form
For gschool. Fields marked with a star are required.
About you
We'll use your email to confirm the form and contact you about changes.
Student name
∙
Required
DOB
∙
Required
Tutor group
Student email
Where you'll be working
The employer offering your placement.
Employer name and address
∙
Required
Main business
WEX job title/activities
Address confirmation
—
Yes
No
Your contact at the employer
The person your school should speak to.
Name of contact
Position
Tel
Mobile
Email
Web
Your working pattern
Ask the employer to confirm these.
Days and hours
Dress code
Employer insurance and safety
Your school has to check these before approving the placement. Ask the employer for them.
Insurance company
Policy no.
Expiry date
Public liability cover
—
Yes
No
5 or more employees
—
Yes
No
Written risk assessments
—
Yes
No
Employer sign-off
Completed by someone at the employer.
Employer signed
—
Yes
No
Signatory print name
Signatory position
Signatory date
Parent or guardian
Your parent or guardian needs to agree to the placement.
Parent/guardian name
Parent/guardian signed
—
Yes
No
Parent/guardian email
Send to gschool
Your details are shared with gschool and Sirrond to arrange the placement, and deleted 12 months after submission.