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?
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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:
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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
© In Touch Care Page 3 of 3 QF12a th 15 July 2014