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Student's Gateway Application and Placement Form
Gateway Placement Agreement
1. The workplace learning will include the standards listed in the learning plan.
2. The employer will provide a learning environment that recognises the interests and welfare of the student.
3. The employer will promptly inform the school of any matters that could affect the delivery of the                            workplace learning.
4. The school may terminate this agreement at any time if the workplace learning is not being delivered to              the school’s satisfaction and/or the welfare and interests of the participating student is not being met.
5. The employer may terminate this agreement if unable to deliver the learning.
6. The employer is responsible for meeting all obligations of an employer, or person conducting a business or
        undertaking (PCBU) under the Health and Safety at Work Act 2015, and all obligations under the Human
        Rights Act 1993, and any other relevant statute, regulation or bylaw.
7. The student agrees to:
(a) Follow the employer’s reasonable instructions; and
(b) Use all tools, equipment, safety equipment and clothing issued to the student in a safe and responsible
        manner; and
(c) Behave in such a way that neither the student nor other people are put at risk by the student’s actions.
(d)   Present their COVID-19 certificate, when the employer requires.
(e)   Not be under the influence of alcohol or drugs or smoking/vaping while attending your work placement or          training courses.  You may need a pre work drug and alcohol test if required by the workplace.
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Email *
Have you read the Gateway Placement Agreement? *
Do you agree to the terms that are listed? *
Name: *
mobile number *
Year level *
Do you hold an NZ Licence?
*
Do you have a CV? *
What is the placement or course name that you will be attending?
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