2025 Parent -Carer Form: Yr 12 WEX

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Coombe Sixth Form, New Malden, Surrey

DATES: 14-18 July 2025

In addition, to this form you will need to have appropriate forms completed by the employer and your child.

We will only allow work experience placements with an employer or organisation that has Employers Liability (Compulsory) Insurance (ELI) so the employer must complete details of their current policy.

The ELI must be completed in order for your child to take part with work experience.

Both the Employer section, Parent section and Student MUST be completed in full.

Email *

Your child's details

Your child's first name *

Your child's family name *

Tutor Group *

CGS Jupiter AS

CGS Mars JT/CS

CGS LMH

CGS Neptune DMT

CGS Pluto CW

CGS Orion KC

CGS Saturn PLL

CGS Venus GMT

CBS HDE

CBS VFN

CBS RS

Other:

How did your child secure/find this work experience ? (eg through family, friends, by emailing) *

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