Work Experience Placement Student Agreement Form (to be completed by student)
USE YOUR SCHOOL EMAIL ADDRESS TO COMPLETE THIS FORM

Please complete all fields in this form and click SUBMIT at the end. A copy of your responses will then be emailed to you for your records.

Data Protection Statement: This data will not be shared with third parties. The information provided will be used to administer our Work Experience programme and will be kept in line with the Robert May's School Retention Policy. You have some legal rights in respect of the personal information we collect from you. Please refer to our Data Protection Policy found on our website: https://www.rmays.org/86/key-information/category/20/policies
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Email *
Student Name *
Employer Name *
The name of the company offering this work experience placement
Tutor Group *
The Student's Undertaking
- I agree to undertake this work experience placement and have read and understood the conditions outlined in the Employer Placement Agreement form.

- I will keep confidential any information i gain about the employer's lawful activities and will not disclose it to anyone without the employer's permission.

- I will observe all safety, security and all other reasonable and lawful conditions made known to me by the employer, the employer's representatives, displayed instructions or other written or verbal notices.

- I will not enter areas/interfere with equipment designated by the employer as off limits.

- I acknowledge that I have a legal duty to take proper care of myself and others and that it is an offence to misuse or interfere with anything provided in the interests of health and safety.

- I will notify the employer and my school without delay if I will be absent for any reason.
I agree to the above undertakings *
By submitting this form, we will accept this as your digital signature.
A copy of your responses will be emailed to the address you provided.
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