WorkEXPform (PDF)

WORK PLACEMENT

Please return these documents to The Careers Department, St. Ronan's College, 12
Cornakinnegar Road, Lurgan, Co. Armagh, 8T67 9JW either via the student or by post or by
email to joconnorl04@stronanscollege.lurgan.ni.sch.uk as Soon as possible.

Emplover Gonsent Form
I confirm that I have read the Regulations and accept the conditions as described.
I

as Supervisor of:

wish to nominate

Name of

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for this programme.
for the Employer

Signed:
Date:
Company/Organisation
Address:

Telephone/Mobile Number:

SCHEDULE
Date of Commencement:
Date of Termination:
From:

Time of Attendance:

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For St Ronan's College
Date:
Signed:

Eor Employer
Date:

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FORM OF INDEMNITY / Work Experience Schemes

This scheme has been arranged by St. Ronan's College, Lurgan
For (pupil's name)
(hereafter
the
by
accepting
referred to as the Employer) agreeing to participate in the work experience scheme
above named pupil and to provide facilities, including the provision of any protective clothing or
equipment which may be necessary, supervision and to comply with all Health and Safety legislation
relating to the workplace at the times and for the period agreed, St. Ronan's Gollege will indemnify

ln consideration of

the Employer against:-

1.

Legal liability of the Employer to pay damages including claimant's costs and expenses in respect
of death, bodily injury or disease suffered by a pupil and caused by an event occurring while the
pupil was attending for work experience.

2.

Legal liability of the Employer to pay damages, including th.e Claimant's costs and expenses in
respect of d-eath or bodily injury of any person if such death or bodily injury is caused by a pupil
whilst attending for work experience.

3.

Legal liability of the Employer to pay damages including Claimant's costs and expenses in respect
of loss or damage to propertY.

4.

Any claims, costs or expenses arising out of death, injury or damage to property where such
claims, costs or expenses result from negligence of St. Ronan's Gollege or the pupil.

It is a condition of this indemnity that pupils will not be permitted to drive, manage, control or move
mechanically propelled vehicles of any description and indemnity will not be provided in any cases
that arise as a result of a breach of this condition.

I confirm that I / we have a Public Liability lnsurance and are satisfied with the indemnity detailed
above and in return for receiving an indemnity from St. Ronan's Gollege agree to co-operate fully
with Sf. Ronan's Cotlege in defending any claim that is brought against me / us by the above named
pupil.

Position

Signed
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Signed

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(for St Ronan's College)

(Principal)

Date 02.09.2016

Date