Student Placement Form ← BackThank you for your response. ✨ Full Name(required) Warning Contact Number(required) Warning Email Address(required) Warning Which training institution are you from?(required) Warning How many hours are you required to complete?(required) Warning Is this a general or clinical placement?(required) Select one option General Clinical Warning What dates are you required to start and complete your placement? (required) Warning When are you available each week? (i.e. days / times)Our hours are: Monday-Wednesday, Friday (10am-3pm) And Friday night outreach program from 6pm – 12am (approximate)(required) Warning What specific aspects of the organisation would you like to observe and participate in?(required) Street Outreach Research and Data Collection Admin Art Programs Fundraising Counselling Community Pantry Warning What are your personal aims and expectations for your placement? (e.g are there skills you would like to focus on? or particular areas you want to observe?)(required) Warning What areas of counselling / youth work are you interested in, or looking to get into in the future? What dreams do you have for how you would like to use your training in the future? Warning Warning. SubmitSubmitting form Δ
Life-Gate Inc 