Work Experience: 25th June – 29th June 2018 inclusive

Work Experience: 25th June – 29th June 2018 inclusive Student’s name and form: ………………………………………………………………………………………………………….. TO BE COMPLETED AND SIGNED BY THE COMPANY REPRESENTATIVE: Name of Company: Address:

Contact Name:

Telephone Number:

Name of person to report to if different from Contact Name:

Email address:

Nature of Business:

Brief details of duties the student will perform:

Details of special clothing required:

Daily meal arrangements:

Hours of attendance:

Any preparation the student needs to complete prior to starting:

SIGNED: …………………………………………...

Date: ……………………………………………………….

Please print name: ………………………………

Position in Company: …………………………………