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Professional Placement Questionnaire 2010 - Secondary
1. STUDENT DETAILS
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* Starred questions are compulsory.
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1
. Personal details
Personal details
Student ID
First Name
Family Name
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2
. Course you are enrolled for in 2010:
Bachelor of Secondary Education – double degree programs
BSOR/Education
Graduate Diploma
Course you are enrolled for in 2010:
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3
. Year level you will be undertaking in 2010:
Bachelor degree Year 1
Bachelor degree Year 2
Bachelor degree Year 3
Bachelor degree Year 4
Graduate Diploma Year 1 (to be selected by all commencing students only)
Graduate Diploma Year 2 (to be selected only by returning students who have completed some study already)
Year level you will be undertaking in 2010:
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4
. Mode of study
Mode of study
Full-time
Part-time
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5
. Address where you will be living in 2010
Your 2010 placement/s will be based on your official correspondence address listed in the student enrolment system (WES). If you are unsure of your official correspondence address please check via WES before progressing further.
Do you agree for your placement to be based on the correspondence address listed in the student enrolment system?
Address where you will be living in 2010 Your 2010 placement/s will be based on your official correspondence address listed in the student enrolment system (WES). If you are unsure of your official correspondence address please check via WES before progressing further. Do you agree for your placement to be based on the correspondence address listed in the student enrolment system?
Yes
No
If no, please advise alternative address (i.e. Suburb/Town):
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6
. I will travel to my placement by:
I will travel to my placement by:
Private transport
Public transport
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7
. I am willing to carpool
I am willing to carpool
No
Yes
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