Workplace Learning Form – New, Exit and Changes

Workplace Learning – Applying, Changing and Exiting

Thank you for your interest in applying for Workplace Learning. Please complete the following information to notify us of your intention to complete workplace Learning.

Personal Details

Student Name(Required)

First Middle Last

Student School Email(Required)

What year are you CURRENTLY in at school?(Required)

Are you wanting to start, stop, continue or change your Workplace Learning Arrangements?(Required)

START: When do you want to START Workplace Learning?

STOP: When do you want to STOP workplace Learning?(Required)

STOP: Why do you want to stop Workplace Learning?(Required)

CHANGE: Workplace Learning change Host employers. Why do you want to change?(Required)

Continue : Confirm the name of your current Host Employer(Required)

RTO: What is the name of your course?(Required)

RTO:Who is the course with ? Eg. Thornlie TAFE, FEC etc.(Required)

RTO: What day do you/will you attend your course?(Required)

RTO:Student Acknowledgment of course related workplace Learning Hours hours(Required)

Workplace learning hours that are attached to a course are difficult to achieve because there are very limited times available for you to do this, the course and your regular school timetable. For this reason, it is absolutely critical that if you miss a day of workplace learning, you MUST organise a catchup day wiht your host employer and notify us of this. Click the box below to acknowledge that you are aware of this requirement.

RTO:When do you plan to complete Workplace Learning attached to your course?(Required)

RTO:How many hours of workplace learning will you need to complete as part of your course?

RTO:Who is organising your work placement?(Required)

We need to know who is arranging your workp placement?

Start or Change: Tell me about your Host employer plans(Required)

Some students have already got a host employer in mind or set up. Others aren’t sure and need some support. Others would prefer Mrs Carson to source a placement.

AAStart or Change, Host known:I have a personal contact for Mrs Carson to follow up with(Required)

This is when you or a family member has spoken with a potential host employer. Mrs Carson will contact them, visit the workplace and set up all the paperwork and insurance for you to commence.

Company Name

Person to speak to

Phone Number

Workplace Suburb

How do you know this person?

Start or Change Researched :Potential host employer 1(Required)

Please list some examples of workplaces that you have researched or would like to work in. eg. JB Hifi, Jandakot Smash Repairs. Please them in order of preference. Note, you do not have to contact the employer, but do need to look up and record their contact details. If you don’t have the contact name, just indicate that in the box. Please give us 5 potential host employers.

Company

Job you'd like to do

Suburb

Person Name (if you know it)