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DgDg$ ~ ~ $$$$Lp$DZZZZ  7999999$z!0$h]-q"]ZZ ZZ77ZQ%w.#0$l$$L]]kl$~ X : Off-Campus Programme 2025 2026 Work Placement Request Form Please return completed form to:  HYPERLINK "mailto:PlacementOffice@mic.ul.ie" PlacementOffice@mic.ul.ie Work Placement Provider Data Name of Host Organisation: Address: Tel Number: E-mail: Web Address: Contact Person: Contact Persons Title / Function: Assigned member of organisation responsible for induction, mentoring and supervision of the placement student/s (if different to above): Contact Person: Contact Persons Title / Function: Tel Number: E-mail: Work Placement Periods Please indicate the placement periods and number of student placements that would suit your requirements: Full Academic Year: September 2025 May 2026Autumn Semester: September 2025 December 2025 / January 2026 (*minimum of 15 weeks continuous placement)Spring Semester: January 2026 May 2026 (*minimum of 15 weeks continuous placement) Subject Requirements Please indicate the subject combination[s] that would suit your requirements: English LiteratureMedia & Communication StudiesFrench StudiesMusicGaeilgePhilosophyGeographyPsychologyGerman StudiesDrama & Theatre StudiesHistoryTeaching English as a Foreign LanguageEducation (Electives)Theology & Religious StudiesMathematicsBusiness Studies (new for 2025/26)No Subject Preference Skills Requirements Please indicate any extra skills and/or personal qualities that you would like prospective candidates to possess (e.g. I.T. skills, driving licence):  Work Placement Job Description Please provide an outline job description for the student work placement:  Organisation Requirements Please indicate any particular requirements specific to the Organisation/Placement (e.g. Garda Vetting):  Health & Safety/InsuranceYesNoDo you have a procedure for providing general health and safety training for people working for you?Will you provide specific health and safety training for the placement student as it is relevant to their placement, especially a start of placement (Day 1) induction?Do you have a procedure for recording and reporting accidents and incidents?Do you have appropriate risk assessments to ensure a safe working environment? Do you have Employers Indemnity (min limit 13,000,000) & Public Liability insurance (min limit 6,500,000) in place? 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