1. Observational Placement Survey

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* 1. Name of the staff member

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* 2. Position held

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* 3. Name of the organisation

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* 4. Please provide contact details



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* 5. How long have you been working in your current position?

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* 6. Would you like to undertaken an observational placement at another legal service to develop a better understanding of the services the organisation provides?

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* 7. If you have answered 'yes" to the previous question please indicate where you would like to take up the placement:

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* 8. If you have chosen to take up the placement at a generalist community legal centre/or specialist community legal centre please specify the name of the centre

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* 9. The observational placements are organised for a minimum of 2 hours. Please specify if you would like a morning or afternoon session (only one preference required)

  Monday Tuesday Wednesday Thursday Friday
Morning session
Afternoon session

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* 10. Please provide a reason why you would like to take up this observational placement (how this will support your work)

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