Agency placement confirmation

Thank you for offering La Trobe University Social Work students a supervised professional placement.

Please provide the following information:

Required fields are marked with an asterisk (*).

Student details
Agency details
(Please provide the full name of the organisation)
Confirmation
I confirm that we are able to offer this student a placement *

Please provide the following information about the placement:

Field Educator (Qualified Social Worker)
Days of work (if part-time)
Co-supervisor (if applicable)
Days of work (if part-time)
Placement details

PLEASE NOTE

In 2019, a standard field placement occurs between 9am - 5pm, Monday to Friday from 26 August to 3 December inclusive (including 2 public holidays).

 

Please provide the placement dates and time:

 
Placement type:
Days of attendance:
Hours of attendance:
   
Validation

 

Privacy statement

La Trobe University respects the privacy of your personal information. We, the College of Science, Health and Engineering Placement Operations, collect personal information about you and your organisation to finalise the student allocation process and confirm the placement. We will only use this information for this purpose. If your personal information is not provided to us then the placement allocation may not be confirmed. You may have the right to access the personal information we hold about you subject to any exemptions in relevant laws, by contacting Josh Apeltauer, Senior Coordinator Placement Operations on 9479 5726 or  j.apeltauer@latrobe.edu.au.