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Name:
Student No.:
Student home address during placement:
Email address:
Placement Begins on:
Placement ends on:
Student Contact number(s) during placement: home: mob:
Work Placement site (Name of Work Place):
Work Place Address:

Work Place Supervisor’s name: Position:

Phone:
Fax:
Email:
Web address:
Describe the project in which you will be involved (please be specific)
Describe your role in the project (please be specific)
What kind of product are you expected to deliver (please tick the appropriate category)?
RESEARCH 0 EDUCATIONAL 0 ORGANISATIONAL 0
Describe the product(please be as specific as you can)

Work Placement Approval Signatures:

Student: Date:

Work Place Supervisor: Date:

Subject Coordinator: Date:

The original of this agreement should be held by the Subject Coordinator and copies of the agreement by the Student and the Work Place Supervisor.

Introduction Privacy and the protection of confidential information are serious issues with potential legal ramifications, even for students. While on work placement, students may come into contact with information that is not publicly available. Such information is confidential information and must not be revealed to anyone else.

Students are required to abide by the confidentiality procedures of the work place where they are undertaking their work placements. However, many work places do not have specific confidentiality policies and procedures to address circumstances relevant to students. Therefore, the following guidelines have been developed to ensure students are aware of their