work experience request form

The City of Whittlesea provides a limited number of work experience placements for students each year. Due to the high number of requests however, we are not able to meet demand in all instances.

To assist us in processing your application, please complete the details below.

Student's Details



















School/Educational Institution's Details













Placement

Please provide the dates you are interested in:



Start date:    /  / 



End date:    /  /