WorkEXPform .pdf

File information


Original filename: WorkEXPform.pdf

This PDF 1.3 document has been generated by Canon SC1011 / MP Navigator EX, and has been sent on pdf-archive.com on 11/10/2016 at 15:00, from IP address 86.148.x.x. The current document download page has been viewed 163 times.
File size: 1.1 MB (2 pages).
Privacy: public file


Download original PDF file


WorkEXPform.pdf (PDF, 1.1 MB)


Share on social networks



Link to this file download page



Document preview


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

student l,rlrr-

hA

ne!

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:

t I
|

,

I

pm

am to

l,^,
t'

I

Mrclvbbetl
Signed:

rt

Principal

-'/l

For St Ronan's College
Date:
Signed:

Eor Employer
Date:

.,
t L'
l. .1 r3

rt'-

..,:

f

n

*

4M

e,'D-

; fffi\":Y.i-€*l a,

- {tuss#w

UffiE;
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
/ln.
ltvt

nmnlartarl
vt t tPtwyet

/

)Li/t

llIt(iu{r ( ttL4

Signed

4

(for St Ronan's College)

(Principal)

Date 02.09.2016

Date


Document preview WorkEXPform.pdf - page 1/2

Document preview WorkEXPform.pdf - page 2/2

Related documents


workexpform
shepper crowd policy pi and pl
assumption of risk
medicalwaivers 2016 1
2017 century volunteer registration waiver form
cleanup waiver

Link to this page


Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)

HTML Code

Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file WorkEXPform.pdf