Author: Beaumont, Suzie

My
Work Experience
Name:

Insert Photo of yourself

Name:

My Aims

Long Term Goal (Circle)
To gain paid employment
To work in the Voluntary Sector

Work Experience Targets
To demonstrate organisation skills at work experience
To demonstrate communication skills at work experience
To demonstrate problem solving skills at work experience
To demonstrate team work skills at work experience

Working Safely
It is important to work safely, because accidents can happen in a split second. Think before you act and keep yourself and others around you safe. Prepare well, listen carefully and make sure that you understand your health and safety induction.

Fire
Make sure that you know what to do in a fire. If you discover a fire raise the alarm at once. Remember that fires and other emergencies where a building may need to be evacuated have strict regulations which are designed to ensure everyone’s health and safety. It is very important to know and follow these instructions.

Accidents
Any accident in a place of work must be reported. If you need first aid even for a small accident, like a cut finger, go to first aid post or person, then report you accident to the appropriate person and make sure it is recorded in the Accident book.

Advice and Guidance

Respect
A good employee follows instructions carefully, handles information confidentially and safely, shows enthusiasm and pride in their work.

Support Needs
The best way to support me is...

Photo Consent
Internal:
External:
Social Media:

Medical
If you have any medical/health problems (allergies, regular medication) make sure your employer knows about it.
My medical needs:
Emergency contact
Name:
Number:

If I am ill
If you can’t go to work experience because you are ill, you should let Lynsey at college know and you should let your employer know.
Lynsey—
Employer—

Employability Skills
There are many different employability Skills. Which do you think you already have?

Communication

Leadership

Team work

Numeracy

Problem
solving

Self
Management

Time-keeping

Information Technology

What skills do you have that you can use in the workplace?
.

How do you wish to be supported on your Work Experience Placement? (Circle)
Supported
Supported some of the time
Unsupported

Topics I can ask/discuss in my interview

My preferred Communication
Method?

If I find a broken piece of equipment who shall I tell?

Do I need to wear a name badge?

If I have a problem who do I talk to?

Do I need to wear a Sunflower lanyard?

Who should I report to?

1 question to ask in your interview:

Employers Details
Name of the organisation:
Address :
Contact telephone numbers:
Email address:
My job title:
My duties are:
My department:
My supervisor:

Job details:
Start Date:
Start time:
Time I need to leave college/home to arrive on time:
Method of Travel to my Work Experience Placement:
I will be supported by (if applicable)

Do you know who to report to on your first day?
How are you getting to work experience?
Do you know when your break or lunch time is?

Please complete this questionnaire…
Where is the nearest fire exit to the place were you will be
working?
If the fire alarm goes off where is the meeting place?
What do you do if you have an accident, or see an accident at work?
If you see something dangerous who do you report it to?
What is the name of the person who deals with First Aid?
IF there is no First Aider what should you do?
Where is the First Aid Box?
If you have a problem at work experience, what is the name of the person at work that can help you?
Support staff:
Work placement staff:
Do you know where the toilets are?
Do you know where to go at break/lunch times?

Work Experience Evaluation –Student Assessment

My Day at Work: Day 1
Tasks completed:
Reflection on what happened today:

My Day at Work: Day 2
Tasks completed:
Reflection on what happened today:

Work Experience Evaluation – CSCD staff

Work: Day 1
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation – CSCD staff

Work Day 2:
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation –Student Assessment

My Day at Work: Day 3
Tasks completed:
Reflection on what happened today:

My Day at Work: Day 4
Tasks completed:
Reflection on what happened today:

Work Experience Evaluation – CSCD staff

Work: Day 3
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation – CSCD staff

Work: Day 4
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation –Student Assessment

My Day at Work: Day 5
Tasks completed:
Reflection on what happened today:

My Day at Work: Day 6
Tasks completed:
Reflection on what happened today:

Work Experience Evaluation – CSCD staff

Work: Day 5
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation – CSCD staff

Work: Day 6
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation –Student Assessment

My Day at Work: Day 7
Tasks completed:
Reflection on what happened today:

My Day at Work: Day 8
Tasks completed:
Reflection on what happened today:

Work Experience Evaluation – CSCD staff

Work: Day 7
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
.
.
.
Photo taken today and uploaded: Y / N

Work Experience Evaluation – CSCD staff

Work: Day 8
Tasks completed:
Overall attitude/targets met/comments:
Photo taken today and uploaded: Y / N

Targets
.
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Photo taken today and uploaded: Y / N

Work Experience Evaluation –Self Assessment
End of Placement

Did you enjoy your Work Placement?
Name one of your favourite moments..

Did anything unexpected, unusual or comical happen on your Work Experience?

How has your Work Experience influenced your current thoughts about your future
career?

Employer Feedback—End of placement
To what extent did the student display the following attributes while on work placement with you?

Attributes	1	2	3	4	5	Not / observed
Resourceful
Enthusiasm
Ambition
Self-motivation
Flexibility
Persistence
Diplomacy
Honesty
Risk taker
Positive attitude
Competitive
Entrepreneurial

KEY for tables
1 Very poor 2 Poor 3 Fair 4 Good 5 Very Good

How did the student rate in terms of the following personal qualities?

Personal Quality	1	2	3	4	5
Attendance
Time-keeping
Appearance
Attitude to work
Reliability

How did the student do in forming relationships?

Relationships	1	2	3	4	5
With Staff
With Clients

Any other comments: