Non-standard placement application

Required fields are marked with an asterisk (*).
Student details
(e.g. j1234@students.ltu.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.)
 * 

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

 * 

 * 

 * 

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