Host School Survey: Harlequins Foundation/ Sport Impact 'School Sport Assistant' (Kickstart)
Thank you for confirming your school's interest in hosting a School Sports Assistant(s) placement on behalf of The Harlequins Foundation as part of the Government's Kickstart scheme.

Please complete this short survey by Monday 15th February, by doing so you will be supporting The Harlequins Foundation to ensure that each School Sports Assistant can be best matched to the most appropriate placement opportunity, and vice versa.  
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Your Name *
Role *
School *
Email *
Will you act as the supervisor for the SSA placement candidate(s)? If 'No', please provide contact details for this member of staff in the next field. *
Supervisor name & email (if different to above)
How many SSA placements is your school wishing to host (summer term '21)? Please outline any specific  requirements here. For example; minimum age requirements & gender preferences etc.   *
Provide a brief outline of the duties & tasks you envisage the SSA's supporting your school with. *
Please provide a guide as to which days/ hours each SSA is required on site at school in order to support with the above tasks/ duties as required. Please note, each SSA placement is funded to complete 24 hours of support work across the week, with an additional hour per week to be made available for a meeting with their Harlequins Foundation mentor  (online or in-person)
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