Your name

Your email

Your telephone number

Your company

Postcode

Yes, I can offer placementsNo, Not at the momentNever, business has closed

Please tell us where the student(s) will be working. For example, if your business is a motor mechanics, but the learner will be in the office, the business area will be 'Admin, Business and Office'. If you are unsure, don't worry, we can discuss this with you.

Business area 1:
—Please choose an option—Administration, Business and Office WorkAnimalsBuilding and Construction - Manual TradesBuilding and Construction - Professional TradesCateringComputers and ITDesign, Arts and CraftsEducation - ChildcareEducation - TeachingEducation - TrainingEngineering - Professional and TechnicalEnvironment and PlantsFinancial ServicesHair and BeautyHealthcareHospitalityLanguages, Information and CultureLegal and Political ServicesLeisure and TourismManufacturing and ProductionMarketing and AdvertisingMedia, Print and PublishingMotor VehicleOther (please state below)Performing ArtsRetail Sales and Customer ServicesScience, Mathematics and StatisticsSecurity and Armed ForcesSocial Work and Counselling ServicesSportTransport and Logistics

Number of children in business area 1, at any time:

Business area 2:
—Please choose an option—Administration, Business and Office WorkAnimalsBuilding and Construction - Manual TradesBuilding and Construction - Professional TradesCateringComputers and ITDesign, Arts and CraftsEducation - ChildcareEducation - TeachingEducation - TrainingEngineering - Professional and TechnicalEnvironment and PlantsFinancial ServicesHair and BeautyHealthcareHospitalityLanguages, Information and CultureLegal and Political ServicesLeisure and TourismManufacturing and ProductionMarketing and AdvertisingMedia, Print and PublishingMotor VehicleOther (please state below)Performing ArtsRetail Sales and Customer ServicesScience, Mathematics and StatisticsSecurity and Armed ForcesSocial Work and Counselling ServicesSportTransport and Logistics

Number of children in business area 2, at any time:

Message or comments? (optional)