Amendment to Individual Learning Plan

CHANGE OF EMPLOYER FORM

AMENDMENT TO INDIVIDUAL LEARNING PLAN

Learner Name: / Programme: / DOB:
APPS / Type of Placement: Paid Employment AND  16+ hours per week
WP FLEX / Type of Placement: Paid Employment with contract of employment
EMPLOYER DETAILS
Company Name:
Employer IDNumber (EDRS):
Address:
Postcode: / Company Contact Details:
Name: ______
Position:______
Tel No: ______
Email: ______
Learner’s Start Date in company:______/______/______
Learner’s Job Title:______
Learner’s Co Email:______
Pattern of hours worked (including days, times and any shift patterns): / Total Weekly Hours:
CAREER OBJECTIVES/PLANNED PROGRESSION
Updated Career objectives or planned progression route after completing the programme:
COMPANY INDUCTION
Workplace Induction completed by Employer (all learners) 

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BSTCONTROL
 PICS UPDATED
 BST PROCESSING PROCEDURE COMPLETED
(Documents filed in Master File) BST SIGNATURE: ______
LEARNING AGREEMENT
Employment status (please tick as appropriate):
The learner is currently employed by the company under a written contract of employment in line with national minimum wage legislation and the learner has been issued with a copy.
Apprentices only:
The employer has been informed of the legal duty in respect to an Apprenticeship Agreement between the Employer and Apprentice.
The Apprenticeship requirements have been checked for compliance and the Apprenticeship is still suitable for the Learner.
We agree to the changes to the Learner’s Individual Learning Plan.
We confirm that the Individual Learning Plan has been discussed and we are satisfied with the arrangements set out and agree that the ILP is a true record of the learning agreed.
Learner Sign: / Print Name :
Date :
Employer Sign: / Print Name :
Position : / Date :
Provider Sign: / Print Name :
Date :

SUPPORTING DOCUMENTS (SECTOR TO COMPLETE)
 SLA completed for this companyorSLA already in place
 Current Workplace Health and Safety Assessmentin placeor New Workplace Assessment completed
 New Skills Scan completed / existing Skills Scan amended (copy attached)or Skills Scan reviewed and no changes
 PTP only - Health & Safety Learning Activity reviewed / completed (as per assessment documentation)
 Subcontractors only – Completed Learner Health & Safety Assessment (S10) attached

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