Apply for student placement

Please complete this form to register your interest in a student placement with the City of Greater Geelong.

Fields marked with * are required

Personal details

*First name

*Last name

*Address

*Suburb

*Postcode

*Contact phone number

(daytime)

*Date of birth

*Email

Placement details

*Select student placement type

Work experience
Structured workplace learning
School-based apprenticeship or traineeship
Tertiary placement or internship

*Name of school

*Name of tertiary institute

*Name of qualification

*Year level

*Year of course

*Course title

*School contact person

*Institution contact person

*Position title

*Contact phone number

*Email

*Start date of requested placement

*End date of requested placement

*What area of work are you interested in?

*What experience or skills would you like to obtain?

Student acknowledgement

The student placement you are requesting is supported by your school or tertiary institute.
You will provide all documentation requested by City of Greater Geelong.
If you are under the age of 18, you have obtained parental/guardian consent for this student placement.
You understand that completing this application form is not a guarantee of a student placement.

*You agree