‭Own Placement Form‬

‭School Name: Seven Kings School‬ ‭School Deadline: 22/03/24‬

‭STUDENT DETAILS‬
‭Name:‬ Yajuran Parmar ‭Postcode:‬ IG2 7DL
‭DOB:‬ 17/03/2009

‭PLACEMENTS DATES‬
‭Start Date: 01/07/24 End date: 05/07/24‬

‭1 Week‬ ‭2 week block ‬

‭COMPANY/INSTITUTION DETAILS‬‭(Address where student‬‭will be based)‬

‭Company Name:‬ Fullwell cross Library
‭Address:‬ 140 High Street, Barkingside
‭Postcode:‬
IG6 2EA
‭Telephone number:‬ ‭ Mobile number:‬
0208 7089281

‭PLACEMENT DETAILS (to be completed by employer)‬

‭Main contact:‬ Danny Williams

‭Title‬ ‭Firstname‬ ‭Last Name‬
‭Position:‬ Manager
‭Email address:‬
danny.williams@visionrcl.org.uk
‭Student supervisor:‬ All the Senior
‭Title‬ Library assistant
‭Firstname‬ ‭Last Name‬
‭Interviewer:‬ ‭Title‬ ‭Firstname‬ ‭Last Name‬
Poonam Bangarha (Deputy Manager)
Library
‭Type of business/ Industry: ………………………………………………………………………………………..‬
‭ epartment and job role offered to work experience student:‬
D
‭(e.g. Finance/ account assistant, Administration/General Assistant, Sales Assistant)‬ General Assistant

‭………………………………………………………………………………………………………………………………………………..….‬

‭Could we contact you regarding taking any future placements? Yes x No‬

‭EMPLOYER LIABILITY INSURANCE‬‭(PLEASE ENCLOSE COPY)‬

‭ e regret that only those employers with Employer's Liability Insurance are eligible for inclusion in the BEP Group Work Experience‬
W
‭Scheme.‬
‭Insurer:‬ ZURICH

‭Policy number:‬ XAO-262094-9503 ‭Expiry date:‬ March 2024

‭AGREEMENT BY COMPANY/INSTITUTION‬
‭This placement has been agreed on behalf of the above named company / institution‬

‭Signed:‬ Mina Doshi

‭Print name:‬ Minakshee Doshi ‭Date:‬ 20/03/2024

‭PARENT/GUARDIAN AGREEMENT TO PLACEMENT‬

‭Signature:‬ Veekash parmar ‭Date:‬ 21/03/2024