Students > Careers & Opportunities > Work Integrated Learning and Placements > Health placements > Social Work Student Placement forms > Agency placement confirmation

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

A standard placement is 500 hours (minimum 67 days) commencing in late August and, if full-time, finishing in late November. If you have a different commencement date, please tick the box below to request a discussion with La Trobe prior to confirming.

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. The Office of the Provost (OPV) Partnership and 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, 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 the Senior Coordinator, Placement Operations via ASK La Trobe.