ࡱ>  bjbj .     4448lll4?DD2(ZZZ6CCCCCCC$!FHC `"C  ZZCFFFp Z ZCFCFF<@Zk5T.`>$CD0?D>@IIH@@nI 2AxFCCF?DI :  MANAGING AGENT CONTACT DETAILSWBL Provider:Contact Name:Contact Number:Mode: FORMCHECKBOX  Work Placement  FORMCHECKBOX  Employer Specific Training COMPANY DETAILSCompanys Registered Name:Trading Name (if different):Company Address:Unitary Authority:Postcode:Website Address: CONTACT DETAILS Title: FORMCHECKBOX  Mr  FORMCHECKBOX  Mrs  FORMCHECKBOX  Miss  FORMCHECKBOX  Ms Other: (please state)First Name:Surname:Position in Company:Company Email Address:Company Contact Number: ABOUT YOUR COMPANY FORMCHECKBOX  Private Sector  FORMCHECKBOX  Third Sector  FORMCHECKBOX  Public SectorPlease tell us which sector best describes your company (please tick one box only):What is the total number of staff your company employs?  4a. DETAILS ABOUT THE WORK PLACEMENTJob Title:Will this role use ʶ language skills: FORMCHECKBOX  Yes  FORMCHECKBOX  No 4b. DETAILS ON THE EMPLOYER SPECIFIC TRAININGType of training required:No of vacancies required: 5. EMPLOYER COMMITMENTS I, the employer, confirms that:The placement provides quality work experience consisting of meaningful work activities that reflects actual employmentParticipant will undertake an inductionAgree the participant can be contacted regularly by the provider to undertake reviews of developmentA record of the participants attendance will be updated (via a dated and signed timesheet) and submitted to the providerThe participant time have sufficient time off to attend meetings with JCP/CW and work interviewsEmployer agrees to either undertake a real job interview at the end of the work placement or training or provides feedback to the participant regarding their progress 6.USING YOUR DATAThe ʶis required to collect information from you and this privacy notice sets out how the information will be used and who will have access to it. All information you provide will be stored and used in accordance with the Data Protection Act. Under the Data Protection Act, you have a right to access the data the ʶholds about you and to correct the information in the future. For further information please email  HYPERLINK "mailto:employabilityskills@wales.gsi.gov.uk" employabilityskills@wales.gsi.gov.uk or call 0300 123 0776. For more detail on the above, please visit  HYPERLINK "http://gov.wales/contact_us/fpcc/dataprotect2" http://gov.wales/contact_us/fpcc/dataprotect2 The information collected will be sent to the ʶand in some instances to parties working on their behalf, and used in the following ways. To monitor and report on the number of people taking part in projects and the number of people from different groups being supported (e.g. different ages, genders and ethnicities) By the ʶand other public bodies, to carry out the funding, planning, monitoring and inspection of learning, and to produce statistical publications. By approved social research organisations, to carry out research, analysis or equal opportunities monitoring. By auditors. To link your records to other data sources for the purpose of evaluating the impact the project has had on the people who took part and for other research. Research organisations will only contact a sample of employers. If you are contacted to take part in any research/evaluation about your experience on the project the purpose of the interview or survey will be explained to you and you will be given the option to say yes or no to taking part. You contact details will only be used for approved research purposes and in accordance with the Data Protection Act. The research organisations will delete your contact details once this approved research is complete. By signing this form at Section 7 (below) you are consenting to your information being used in the ways set out above. 7. 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