New Employer Agreement Registration
Organisation Name
*
Location
*
--None--
UK
Europe
International
Address
*
Post Code
*
Country
Company Website
Student(s) Name(s)
Form Completed By
Your Name
*
Your Position
*
Your Phone
*
Your Email
*
I have read and agree to the Provider Placement Responsibilities
*
High Risk Activities
Will the student be undertaking any higher risk activities?
*
--None--
Yes
No
Insurance
Is Employer Liability Insurance held?
*
--None--
Yes
No
Is Public Liability Insurance held?
*
--None--
Yes
No
Is the student deemed to be an employee for the purposes of these insurance policies?
*
--None--
Yes
No
Does your insurance cover liability for injuries or sickness suffered by placement/work experience students attributable to their duties within your organisation and do you have first aiders available in the student’s workplace?
*
--None--
Yes
No
Does your insurance cover injuries and/or property damage that placement students may cause during their work placement?
*
--None--
Yes
No
Privacy Notice
I have read and agree to the
Privacy Policy
and I give consent for Oxford Brookes University to store my data
*