Professional Placement Questionnaire 2010

Professional Placement Questionnaire 2010 - Primary

1. STUDENT DETAILS

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* Starred questions are compulsory.

1. Personal details

Personal details First Name
Family Name
Student ID

2. Course you are enrolled for in 2010:

Course you are enrolled for in 2010:

3. 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

If no, please advise alternative address (i.e. Suburb/Town):

4. I will travel to my placement by:

I will travel to my placement by: Private transport

Public transport