Work Experience Placements For School Students Page 2
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1
2Medical information:
(List any pre-existing medical conditions that may
impact on the student’s work experience placement.
Please attach details of medications and health plans
where relevant.)
STUDENT RESPONSIBILITIES
I understand that my conditions of placement include:
•
attendance at my placement for the full work experience period
•
immediately notifying my school and the work experience provider if I am unable to attend or am late
•
demonstrating behaviour aligned to my school’s responsible behaviour expectations and in keeping with the accepted
standards of my work experience provider
•
performing my duties to the best of my ability and complying with all reasonable directions given by the work experience
provider
•
following all workplace health and safety procedures in my workplace
•
notifying my school and work experience provider of any incident or accident in the workplace which may involve me.
Student
Date:
/
/
signature:
PARENT CONSENT (Applicable to students under 18 years of age)
I understand that my responsibilities relating to my student’s work experience placement include:
•
providing any information about medical conditions and/or medication relating to my child which may impact on the safety of
my child or the safety of others in the workplace
•
organising transportation for my child to and from the work experience placement location
•
notifying the school and work experience provider if my child is unable to attend or is late.
I consent to
participating in work experience as stated.
Parent
Date:
/
/
signature:
WORK EXPERIENCE PROVIDER’S AGREEMENT
I enter into an arrangement for the named student to be placed with me for the purpose of work experience. Conditions of
placement include:
•
understanding my responsibilities relating to health and safety under the Work Health and Safety Act 2011 (Qld)
•
informing the student of particular safety requirements of this workplace including personal protective clothing/equipment
•
notifying the school/work experience provider of any unexplained absences by the student
•
notifying the school/work experience provider of any incident or accident involving a school student, any action undertaken
and damages to property involving the student during this placement
•
providing supervision for the student at all times
•
ensuring the hours worked by the student do not exceed the normal hours worked in my industry
•
ensuring the student will not perform work which is prohibited by law or is unsuitable for a student placed in a work
experience environment
•
understanding that the arrangement may be terminated at any time by either the school principal or myself
•
ensuring the student is not paid whilst undertaking work experience
•
understanding the level of liability cover provided by the Department of Education and Training.
Work Experience Provider’s
Date:
/
/
signature:
PRINCIPAL’S AGREEMENT
I enter into an arrangement for the named student to be placed for the purpose of work experience with the above named work
experience provider.
Principal’s
Date:
/
/
signature:
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Uncontrolled copy. Refer to the Department of Education and Training Policy and Procedure Register at
to ensure you have the most current version of this document.
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