Work Experience Form

Form from: South Norwood Primary

First name

Surname

Address

Mobile Phone Number

Home Phone Number

Email address

Emergency Contact Details

Why are you interested in work experience at the school?

What school/college do you attend ?

What Year are you in ?

Form Tutor's email address

Please upload the paperwork from your school/college here

Please give a brief description of any experience you have that may be relevant to your work experience application at South Norwood Primary

Are you related to anyone that works or attends this school?

Yes No

Are you an ex pupil of this school ?

Yes No

How much time would you like to spend at school

1 week 2 weeks

Start date

End date

To help us identify the areas of work you are interested in and the skills you have please answer the questions below

Supporting children in their learning in literacy Supporting children in their learning in numeracy Supporting children in PE Supporting children with break times/lunchtimes Administration, ie photocopying, filing etc Helping to organise the classroom with displays etc Supporting children in Art and or Music

Which languages do you speak ? Please indicate if fluent, intermediate or basic

Is there anything else you could tell us about yourself that you feel is important

I have read and understood and will follow the Work Experience Code of Conduct

Please sign below

signature _{please use your mouse or finger sign above}

Attachments:

Work Experience Code of Conduct.docx