Transcript Portfolio Pilot IBPV (2016

Portfolio Pilot IBPV (2016 - 2017)
Company
Company name
Zip code nummer
Addition
Street
Town | Country
Phone
Website
Contact person
Salutation | First letter | First name
Mr | Mrs
Surname prefix | Surname
Date of Birth | Job title
Phone | E-mail
Workplace trainer
Salutation | First letter | First name
Mr | Mrs
Surname prefix | Surname
Date of Birth | Job title
Phone | E-mail
Educational background
Relevant work experience
Coaching experience
Facilitation with time, space and
resource
Conditions
Description of the context of the
company
Description of the company
Conditions
Description of the relevant and effective workplace for the Student
Description of the socially and physical safe situation available for every
student
Student
Name
Work placement from | until
Qualification/work process
Qualification
Work process
Statement
School
Naam Ibpv-coördinator
Phone | E-mail
Deze gegevens zijn ingevuld op basis van contact met het bedrijf (en intermediair).
Ik verklaar dat ik heb geverifieerd dat de student veilig, goed begeleid en op het juiste niveau zijn/haar stage kan uitvoeren voor
de betreffende beroepsopleiding.
Datum
Handtekening
(Optional) Intermediary
Company name
Salutation | First letter | First name
Mr | Mrs
Phone | E-mail
Website
(Optional) Awarding body
Awarding body
Database/registration
(Optional) Information Erasmus+
PIC code*
(optional) * If the company doesn’t have a PIC code, provide the information
VAT number
Registration number
Chamber of Commerce
Profit or non-profit organisation
Public or private company
Number or employees
1 -10 | 10 -50 | 50 - 100 | 100- 250