Work Based Learning Agreement Example
Is a DBS check required ( i . e ., for work with children or other vulnerable groups )?: Y / N If yes , has certificate been obtained ? Y / N
The standards of dress / behaviour etc . expected .
Please set out any conditions or instructions regarding the confidentiality of any information which you may have access to in the course of your placement .
Placement provider : Print Name Signature Date
Academic Tutor : Print Name Signature Date
Student : Print Name Signature Date
This agreement must be signed by all parties prior to the start of the placement .
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