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Submission of Work Placement for Year 11/Year 12 Tiffin Boys

Tiffin boys benefit immensely from work placements. They go to for one or two week placements at the end of June (this year 29 June to 10 July 2015).  If you are able to offer a work placement to a Tiffin boy in Year 11 or 12 (aged 16 or 17) please could you fully complete and submit the following form? Offers will be compiled by Mrs Pierce in the School's Main Office (jpierce@tiffin.kingston.sch.uk).  Please complete and return a form for each placement that you can offer. 

Thank you.

Your first name and surname*                         
Your email address*
Contact person in the organisation*
Name, address and telephone number of the organisation*
Contact person's email address and direct phone number*
Title of the job*
What duties will the student be carrying out on the placement?*
Are you able to offer 27 June to 1 July 2016? (Y/N)
Are you able to offer 4 July to 8 July 2016? (Y/N)
Are you able to offer both of the above weeks? (Y/N)