Work Experience Agreement
Between In Touch Care, (Organisation Name) and (Learner Name) We will facilitate the unpaid Work Experience of ……………………………….. as follows: Effective Start Date: Effective End Date: Location: Hours: Activities:
Contact Details Supervisor: Supervisor Contact number: ITC / School Contact name or other: ITC / School emergency contact number or other: ITC / School Visit or other: A representative from In Touch Care will conduct a placement visit on ……… Agreed Learner Responsibilities during the placement Behaviour You will be expected to be courteous and respectful to other staff and learners during your placement. Transport and Lunch You will be responsible for making arrangements for transport and lunch Health and Safety You must: • Take reasonable care to avoid injury to yourself and to others • Report any accident or injury immediately and record the details in the accident / incident book Page 1 of 2 QF12b 15th July 2014
Work Experience Agreement
You must not: • Interfere with, or misuse any clothing or equipment provided to protect your Health and Safety In Touch Care will take reasonable care of your Health and Safety under this agreement. A Health and Safety Risk Assessment will be undertaken, identifying measures to be taken to control or eliminate any identified risks. Confidentiality You must not, at any time whether during or after the placement, disclose to a third party, any confidential information you obtain during your placement which is not available to the public. In Touch Care will meet responsibilities for confidentiality of your data under In Touch Care Data Protection Policy. Liability In Touch Care’s public liability insurance policy covers those conducting voluntary work. (Insert name of Work Experience learner) has received the following documents: • • • • •
Written confirmation of Work Experience including contact details Learner Handbook Learner Journal Work Experience Charter Standard 10
Signed:
Date:
(Insert Name) (Insert Job Title) In Touch Care Signed: Learner
Date:
Signed: Employer
Date:
Page 2 of 2 QF12b 15th July 2014