Page 1 of 3 QF12a

15th July 2014

 Work Experience Sector Request Form

Learner Name: Date: Current Course / Learning / Employment status

Learners Address: Telephone Number:

School / Work Contact Name and Contact details (if applicable)

Preferred Work Experience Area (in order of preference)

1. 2. 3.

Q1) What new skills do you wish to gain from the Work Experience? Q2) Why have you chosen this area of Work Experience?

   

Page 2 of 3 QF12a

15th July 2014

 Work Experience Sector Request Form

Q3) How do you think the Work Experience will help you with your career?

Teacher IAG (for relevance/appropriate)

Work Experience Confirmation Employer Name: Address: Telephone Number: Email Address: Dates of Work Experience (if known): Last day at Placement:

   

Page 3 of 3 QF12a

15th July 2014

 Work Experience Sector Request Form

These resources have been produced as part of the Traineeship Staff Support

Programme commissioned and funded by The Education and Training Foundation.

Find out more on the TSSP website: www.traineeship-staff-support.co.uk

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