Work Related Learning Request Form

Tel: 01635 279900
Fax: 01635 279915
Email: info@ebpwb.co.uk

Please fill in your details below:

* Required fields
School *
Contact Name *
Phone Number *
Email Address *
Preferred method of contact and best time
Event Name
Curriculum Area
Preferred Dates
Key Stage/Level
Number of Students
Total Cost
Learning outcomes to be supported by this activity
Further details of support required e.g. case studies, resources, business challenges, visits, speakers, mentors, teacher placements etc
Signed
Date

Education Business Partnership West Berkshire, 188 Main Street, New Greenham Park, Thatcham, Berkshire RG19 6HW

Registered in England No. 2829085. Registered charity no: 1030564