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Placement Partnership Form

Placement Partnership Form
Please complete this form to ensure we have your organisation's most up to date records on file. You can also use this form to request that your details be removed from our records.

The information you provide will assist in the process of allocating the most suitable students to your organisation and provides the student with clear expectations when choosing a placement.

Quick Update

Select all that apply.

Agency / School Address & Intake Details

Select all that apply.
Please provide information of any particular preference about experience of student.

Agency / School Contacts / Personnel

Description of the Placement

This section allows you to tell us as much, or as little as you feel you would like to about your placement. This information can be shared with students ahead of their placement preference selection to assist them in their choices. This information also aids the placement coordinators when selecting the best students to meet the needs of the service.
Describe any particular strengths, features and / or specialist / unique opportunities.
What potential competencies may students obtain while on this placement.
If not in the list, please specify.
Internal systems such as FrontDesk etc.
Please select all relevant options.

Removal of Agency / School from Cairnmillar Institute Partnership Program

Please fill in the below details.