Skip to main content
STUDENT DETAILS
EMERGENCY CONTACT
EDUCATIONAL INSTITUTION OR REFERRAL AGENCY
PLACEMENT DETAILS
Placement type
University course details
Current School
Other placement details
Course details
Medical conditions
Do you have, or have you had, any medical, including physical condition, injury or psychiatric condition which may affect your capacity to carry out the requirements of the work experience placement, or if by carrying out the placement your medical condition or health could be adversely affected?
medical conditions extra
DESIRED AREA FOR WORK EXPERIENCE
Where would you like to work
Placements are 1 week duration unless otherwise stated
STUDENT DECLARATION
Student declaration statement
I declare that all information entered in this form is true and accurate. (further permission from Parent or Caregiver will be sought by those under 18)
Your school, university or placement agency will provide these documents to you
One file only.
5 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
Your school, university or placement agency will provide these documents to you
One file only.
5 MB limit.
Allowed types: jpg, jpeg, png, txt, pdf, doc, docx.
please attach if you are undertaking HSC VET work experience
One file only.
5 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
please attach copy if you are over 18 years and are undertaking work experience in Council’s childcare centres or libraries
One file only.
5 MB limit.
Allowed types: jpg, jpeg, png, pdf, doc, docx.
Stay up to date
Sign-up for weekly news, events and important information.