DEPARTMENT OF SPORT

DEVELOPMENT AND

MANAGEMENT

WORK PLACEMENT AGREEMENT

(Student to submit together with his/her Proposal discussed with the placement provider)

Name of organisation (placement provider):

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

Name of Host Manager:………………………………………………………………….……………………………………..

Telephone…………………E-mail……………………………………….

Name of Host Supervisor (if different): …………………………………..……………………………………………

Telephone ………………...E-mail……………………………………..

Name of Student seeking placement:……………………………………………………………….………………….

Telephone………………..E-Mail………………………………………

Dates of placement:……………………………………………………………………………………………………………..

I undertake to provide academic support and guidance to the student before, during and after the placement, including the agreement of learning objectives for the student, whilst on placement.

Signed:………………………………………………………….. Tutor Date: …………………….

I undertake to provide the student with the opportunity to achieve the agreed learning outcomes, whilst on the placement in a safe working environment and to monitor and assess progress.

Signed:…………………………………………………………… Placement Provider Date:………………………

I undertake to attend punctually on the dates and at times agreed and to work to a high standard, whilst on the placement.

Signed:…………………………………………………………… Student Date: ………………………