Placement opt out form - COVID-19

Opting out of placement during the COVID-19 pandemic

The health, safety and wellbeing of our students, including those completing approved course-related placements, is our highest priority.

While the Department of Health and Human Services (DHHS) currently supports the continuation of health and Initial Teacher Education (ITE) placements and La Trobe University is continuing or commencing student health and ITE placements as scheduled unless advised otherwise, where you have significant concerns for your health and wellbeing - or for that of others living in your home - you can choose to opt-out of placement.

Completing an accredited program of study requires completion of all approved activities (including professional placement). Your course progression may be affected by your choice to opt-out at this time, so it is important to seek guidance from your subject or course coordinator before filling in this form. We cannot guarantee when an alternative placement will be available so if you are currently in your final semester or year of study, you may need to graduate and/or become registered for your profession later than you expected before COVID-19.

Supporting documentation required:

⁃ If you are already on placement let both your placement supervisor and La Trobe subject coordinator know of your decision.

⁃ If you are not yet on placement, contact your La Trobe subject coordinator by email and upload a copy of your email correspondence to this form as a supporting document.


Personal Details

Placement Details
Subject related to the placement
Placement start date *
Please explain the reason for opting out of this placement

Supporting documents

• If you are already on placement let both your placement supervisor and La Trobe subject coordinator know of your decision.

• If you are not yet on placement, contact your La Trobe subject coordinator by email and upload a copy of your email correspondence to this form as a supporting document.

(doc, docx, pdf, jpg or png file type only. Max 8MB file size)
(doc, docx, pdf, jpg or png file type only. Max 8MB file size)

Validation

 

Confidentiality

All information provided will be treated as confidential. At La Trobe University, we respect the privacy of your personal information. We collect personal information in your application in order to handle your submission. In accordance with privacy laws, personal information about you contained in your submission will not be used for any other purpose. You may have the right to access personal information we hold about you, subject to any exceptions in relevant laws, by contacting the College of Science, Health and Engineering on 9479 5726 or via email at SHE.HealthPlacements@latrobe.edu.au The La Trobe University privacy policy can be viewed at: www.latrobe.edu.au/privacy/