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Work Experience for Leicester and Leicestershire

Please fill out the form below, once completed press the submit button at the bottom of the page.
Work Experience Employer Survey
Thank you for accepting a work experience student. Leicester / shire Work Experience Alliance (WEXA) works with schools in Leicester / shire supporting work experience. We strive to provide a quality service at all times and value direct feedback from our clients. We would appreciate you taking a few moments to answer the following questions regarding your recent experience. Please be assured that individual information will remain confidential.
Organisation/Business Name.              
Placement Type - please select from the following categories to choose placement type

Select the placement type category.....

Now choose placement type from this list

Placement Date Start Pick a date Click calendar to choose start date
Placement Date End Pick a date Click calendar to choose end date
Student's School/College. Select student's school/college
Student's Gender
Please read the statements below and indicate by ticking the button to indicate how much you agree/disagree with each one. Please tick the appropriate box
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Yes

No

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