Industry Placement Application Form

Student details
(this must be your La Trobe student email address, e.g.
Student Type? *
Are you enrolled in the Industry Placement Minor?
Have you checked your study plan and/or discussed with ASK La Trobe/Course Coordinator if you have the space/flexibility to undertake this elective subject?
Indicate the semester for which you are applying to complete LTU3IND/LTU5IND and undertake the related industry placement.
Have you already submitted the Industry Placement Minor plan showing planned enrolment in the Industry Placement Minor subjects?
How many hours are you completing for the Industry Placement Minor placement this form relates to?
Indicate the term for which you are applying to complete the Industry Minor placement
Are you applying for a placement through Practera? * Practera is an organisation who partners with La Trobe to deliver highly engaging, group-based, virtual work placements.
Student teams work on a project for an industry client who may be from government, corporate, community sector, a start up, or a small to medium business.
An app guides you through the process, and you are supported by a mentor and a host from the industry client.
Estimated Start Date:
Estimated End Date:
Max 8mb file size
Which university sourced placement for LTU3IND/LTU5IND are your applying for? (You can apply for more than one)
(Placement title and name of organisation)
(Pdf file type only. Max 8mb file size)
(Placement title and name of organisation)
(Pdf file type only. Max 8mb file size)
(Placement title and name of organisation)
(Pdf file type only. Max 8mb file size)
(Pdf file type only. Max 8mb file size)


I understand that my placement may be cancelled or postponed due to unforeseen circumstances eg COVID-19. This may affect my study plan and/or progression in my course. I understand that the university is not required to find me an alternative placement.


All information provided by applicants will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application to determine your eligibility for a scholarship, bursary or grant, and to assess your application as part of the ranking and allocation process. In accordance with privacy laws, personal information about you contained in your application will not be used for any other purpose or disclosed to any person who is not part of the La Trobe assessment and allocation process, without your permission. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the Scholarships Office. The La Trobe University privacy policy can be viewed at:


I agree to the Declaration and Privacy above. *