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Placement Partnership Form

Placement Partnership Form
Please complete this form to ensure we have the most up to date records on file for your agency or school. You can also use this form to request that your details be removed from our records.

Agency / School Details

Please provide physical address (street number and street name) not a PO Box or postal address.
Select all that apply.
Please provide information of any particular preference about experience of student or course level here,

Agency / School Contacts

Removal of Agency / School from Cairnmillar Institute Partnership Program

Please fill in the below details.
If not sure, please type 'Unknown'.