Non-standard placement application

Required fields are marked with an asterisk (*).
Student details
(eg: j1234@students.latrobe.edu.au)
Placement details
Previous placement
Did you have on-site Social Work supervision?
Did you have an External Field Educator?
Placement type * 

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(.pdf or .jpg file type only. MAX 8MB file size.)
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(.pdf or .jpg file type only. MAX 8MB file size.)

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 * 

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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 to consider your request for a non-standard placement. For this purpose, we will use this information and typically disclose it to Placement Providers you may be allocated to. If your personal information is not provided to us then your application for a non-standard placement will not be considered. 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