Approval of Overseas Professional
Experience Placement
OPTION 2
PERSONAL DETAILS
Student ID Discipline
Surname Given Names
Home Address
Town State Post Code
PROPOSED PLACEMENT INFORMATION AND SITE DETAILS
Placement end date
Placement start date
Name of Facility
Postal Address of Facility
State Post Code Country
Contact person (if known)
Position
Department
Phone Email
HEAD OF DISCIPLINE TO COMPLETE - Please select one of the following:
Course requirement OR Of benefit to student in his/her course of study
APPROVAL FROM HEAD OF DISCIPLINE
Full Name Signature Date
APPROVAL FROM DEAN OF COLLEGE
Full Name Signature Date
IMPORTANT DEFINITIONS:
Course requirement This is work experience or placement which is a requirement of the Students course of study. Without successful
completion of this work experience/placement the student cannot complete the requirements of their degree.
Of benefit to student in his/her course of study This is work experience/placement which although considered beneficial/helpful in
providing a more well-rounded experience to the student of their chosen field of study, is not required in order for the student to
successfully complete the requirement of their degree.
Division of Tropical Health & Medicine: July 2017
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