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Work Experience Placement - Parent Consent / Emergency Contact
Emergency Contact Details
Parent/Guardian Details

Please add below or attach any additional information in relation to special needs that you would like the host employer to be aware of, e.g. medical condition (e.g. severe asthma, type 1 diabetes epilepsy, anaphylaxis) or experience any special needs / disability.

Information attached

  • I consent to my child participating in the Work Experience program outlined in the Host Employer Consent. 
  • I consent to any above mentioned medical / special needs information being passed onto the Host Employer. 
  • I understand that a school representative may take photographs and recordings during my work placement in accordance with the schools collection notice. 
  • I have read and agree to the Information for Parents and Students on pages 5 & 6 of this document. 

Student Declaration

·  I have read and agree to the Information for Parents and Students on pages 5 & 6 of this document. 

·  During my work experience placement, I will perform my duties to the best of my ability; comply with all reasonable directions from my host employer and their employees & adhere to the host employer’s work health & safety guidelines. 

Parent / Guardian Information

WORK EXPERIENCE PLACEMENT - INFORMATION FOR PARENTS AND STUDENTS

In the work place your child will be supervised by the allocated supervisor as above. However, the level of supervision may be less than your child is accustomed to and it is important that your child follow directions from their supervisor or other representative of the host employer.

1.   The School has a common law duty of care to take reasonable steps to ensure the safety of its students.

3.   The School will not conduct a work place visit to each host employer and relies on the student, parents or host employer to advise the School if there are any problems during the work experience placement.

4.   The host employer has obligations under work health and safety ('WHS') legislation to ensure that its employees and all other persons are not exposed to health and safety risks while at the host employers place of work - this includes work experience students.

(a)  the host employers WHS policy;

(c)  security and emergency evacuation procedures;

(e)  the tasks, equipment and material the student will be expected to use and who they should see for assistance; and

6.   You should advise the work experience co-ordinator if such an induction does not take place or if the student has any concerns about safety in the workplace.

7.   The host employer must comply with applicable anti-discrimination legislation.

Responsibilities of the Student

(a)  listen carefully and follow any instructions given in regarding the performance of work;

(c)  inform the school and host employer of expected absences from work, or late arrivals or if any unexpected absences or lateness occurs;

(e)  report any concerns in relation to discrimination, harassment, bullying or any grievances to the work experience coordinator;

(g)  keep contact numbers of their parents, work experience coordinator and host employer supervisor with them at all times during their work experience placement.

(a)  feels uncomfortable with an instruction given to them;

(c)  is being harassed or bullied or is uncomfortable with how a particular person is treating them,

Responsibilities of the Parents

(a)  discuss suitable work experience placements with the student and assist the student in finding a work experience placement;

(c)  assist the student in organising safe travel to and from the host employer.

For any enquiries regarding this form, please contact Mrs Kristin Clulow, Director of Partnerships and Pathways on (02) 4967 2111.

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