1. About You/Your Placement

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* 1. Student Number (without the z)

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* 2. Program ID eg. ACC05

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* 3. First Name

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* 4. Last Name

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* 5. IT Start Date

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* 6. IT Finish Date (You must complete the number of weeks specified for your IT - this includes making up any days over the Christmas/New Year period)

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* 7. Mobile Number

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* 8. IT/Work Contact Number

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* 9. Sponsor Name

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* 10. Sponsor Address (ie. Address where you are located during IT)

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* 11. Your work email...

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* 12. How would you rate IT so far (this comment is CONFIDENTIAL - it is not shown to the Sponsor)

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