Impact Gamers Trainee/Work Experience Sign Up

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Fill in the form to give your information to impact gamers and if under 18 get a parent or guardian to sign it also

The process

Students/Parents approach us directly or agencies sign post us

The student (and if under 18 parent/guardian) will complete this form
We will be in contact about arranging an initial meeting at our base
In this meeting we will explain what you will be doing, your duties and our support
If you confirm you'd like to start training with us we will organise time and start and end date

Please contact Adam with any questions or concerns adam@impactgamers.net

First and last name of student *

Prefered Pronouns (if any)

Date of Birth *

YYYY

Briefly why would you like to work for impact gamers? *

What difference you'd like to achieve for yourself by completing this placement? *

Ethnicity (optional)

Address *

Students E-mail address *

If under 18 parent/guardian name

Contact Phone number for parent/guardian (ideally mobile)

School or college attended

Reason for applying

In order to secure future work experience week with Impact Gamers

In order to help fulfill college placement hours

In order to volunteer and gain games design experience

In order to be trained up to do community work with Impact Gamers

Other:

Doctor's details (Name and surgery) *

Medical Conditions or Disabilities (Write N/A for none) *

Please read this and consent.

Impact Gamers
Impact Gamers is a community interest company, who aim to inspire young people to make positive computer games. We run groups and events to inspire young people to grow in confidence and skills in computer use and programming. We make games as groups and individuals which are uploaded and shared online for the public to enjoy. Content made in the group belongs to Impact Gamers and we are able to use it to further our aim.

Travel Arrangements
We expect you to be responsible for your own travel arrangements to and from the sessions, unless agreed by email with staff members. For any off site activity/change in work day/ we will arrange separate consent for those under 18.

Maintaining a place at Impact Gamers
Your child can stop attending at any point, but please let us know before you end their place.

Confidentiality and Data Protection
If young people wish to share information about a difficult part of their life, it will be handled sensitively but not necessarily in confidence. If a young person is, in our opinion, likely to come to some immediate or serious harm, we have a duty of care to disclose relevant details to the proper authorities and members of staff who need to know.
Information is stored on a computer only as long as is necessary.
CCTV is in use in the building, these images are for safety and security
Photos/Video may be taken for publicity, please let us know if this is not suitable in the comment boxes below, we will inform you before you feature in any photo or video

Contact
Staff will only communicate with student via email, parents can request to be copied in please add this request into the comment box below

Safeguarding
Our full safeguarding policy can be found online at www.impactgamers.net

First Aid
You give consent for any first aid or emergency medical treatment if we cannot contact you

GDPR
This information will be held securely until the end of the placement and not shared with 3rd parties

Other comments you wish to add

STUDENT I consent. Type your name below as a digital signature *

PARENT/GUARDIAN (If under 18) I consent. Type your name below as a digital signature

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