School of Social Work and Social Policy

1. Family Name :
2. First Name/s :
3. Student No:
4. Mr/Mrs/Ms:
5. Street Address :
6. Suburb:
7. State:
8. Postcode:
9. Telephone No: :
10. Mobile No:
11. Email:
12. Course title:
13. Campus:

Please select one of the options below:

1. Enrolment Letter:   Yes
2. Please state clearly your purpose for this letter
3. Completion Letter:   Yes
4. Request conditions
5. Submit this form only after submission of your final placement documentation, by email, to your liaison person.
6. Important
7. This letter cannot be provided until the Director of Field Education has confirmed with Student Services that your final Field Placement is a pass
8. My final placement documents were submitted on:
9. Course Qualified Letter:   Yes
10. This letter states that you have been qualified for your course award to be conferred at the next La Trobe University Graduation Ceremony.
11. Select from the following options: To be collected from the Division of Allied Health reception office, HS2 207 To be emailed (pdf) to your La Trobe student email address To be posted to the address listed above.