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Work Experience Agreement Form

Step 1 of 3

Please complete all sections

Personal Details

First Name

Date of Birth

Address

Post Code

Surname

Email

Phone Number

Emergency Contact Details

Tick if applicable

If arranged via a school/college

If under 18

If neither apply please leave blank

Step 2 of 3

Service Area / Department

Placement Dates

Supporting Manager Name

Working Hours

Form Submitted

Thank you for completing the Work Experience Agreement Form

What happens next?

Your form will be reviewed, and appropriate action (if applicable) will be followed up with the relevant People Services advisor

When to contact us?

If you have made a mistake or need to change something in your request.

Thank you for taking the time to visit www.merthyr.gov.uk

Form Submitted

Thank you for completing the Work Experience Agreement Form

What happens next?

Your form will be reviewed, and appropriate action (if applicable) will be followed up with the relevant People Services advisor

When to contact us?

If you have made a mistake or need to change something in your request.

Thank you for taking the time to visit www.merthyr.gov.uk

Is there anything wrong with this page?

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