Form 216-1: Work Experience Agreement FormWork Experience Placement Agreement • September 16th, 2019
Contract Type FiledSeptember 16th, 2019WORK EXPERIENCE PLACEMENT AGREEMENT BETWEEN: AND: AND: The Board of Education of School District No, 67 (Okanagan Skaha) Name of Student: (the “Student”) Business Name of Work Site Employer: (the “Work Site Employer”) Name of School: Student’s Date of Birth: Supervisor Contact Information Name: Telephone No.: Facsimile No.: Email: Name of School Contact: Name of Parent/Guardian of Student: Address of Work Site(s) for Work Experience Placement: Postal Code: Address: Postal Code: Telephone No.: Email: Student’s Address: Postal Code: Telephone No.: Email: Address of Parent/Guardian(if different from Student’s): Postal Code: Telephone No.: Email: