Student Placement Application with the Department of Health and Human Services

Position you're applying for:
Central Pool
Date Posted: 07-Dec-2019 05:35
Job Details: VG/1077445
Location: VIC - various
Minimum requirements for this vacancy
Please refer to the position description for full details of the position requirements.

Personal Details
Surname:
First Name:
Second Name:
Preferred Name:
Address (currently residing):
Town/Suburb:
State:
Postcode:
Country:
List of Values Clear Field
Email:

Contact Number

Primary:
Are you currently employed by the department?
Australian Citizen or Permanent Resident?
Are you of Aboriginal or Torres Strait Islander descent?
University/Training Organisation Details
University/Training Organisation Name:
Campus:
Your Student ID Number:
Course Type:
Course Name:
(full name including qualification type - e.g. Bachelor, Diploma)
Fieldwork Placement Unit Code and Name:
Year Level:
Is this your final year of study?
University/Training Organisation Fieldwork Coordinator
Name:
Phone:
Email:
Emergency Contact
Name:
Phone:
Relationship:
Placement Details
Preferred placement Start Date:
Preferred placement End Date:
Total number of placement hours to be completed:
Number of days per week of placement:
*Preferred days of placement:
MON TUE WED THU FRI SAT SUN
tick as many as apply
Do you have a current and valid driver's licence?
Do you have a National Police Check current to year of placement?
Do you have a current Working with Children Check (WWCC)?

Preferred Placement Service Branch/Unit and Area: When selecting your placement preference keep in mind that you are responsible for your own travel to and from placement

Preference 1:

Preferred Placement Service:
Clear Field
Preferred Office or Municipality:

Preference 2:

Preferred Placement Service:
Clear Field
Preferred Office or Municipality:
Previously Completed Relevant Qualifications
University/Training Organisation Name:
Course Type:
Course Name:
(full name including qualification type - e.g. Bachelor, Diploma)
Attachments

Please attach your resume and cover letter.

  • Up to 5 documents can be loaded (Microsoft Word format only)
  • Documents must be loaded separately
  • Maximum combined file size up to 2MB
Filename (Size Limit is 2MB):
Click on 'View Files' to ensure that correct attachments are uploaded:
Declaration

The Department of Human Services requires students to have a National Police check current to year of placement. If not already held, see your tertiary field work coordinator for assistance. Tertiary student placements cannot proceed without a Police Check. Please note: Original National Police Check is required to be sighted at the student interview.

Upon submission of this application form, an email confirming receipt will be directed back to you. Your application will be reviewed and you will be contacted either via email or phone regarding your application. For further enquiries, please email: studentplacements@dhs.vic.gov.au

I have read the information provided and agree to the conditions associated with my application:
I confirm that I will disclose true and accurate information during the course of my application: