SURVEYINGTASKFORCE Email Marketing -

Work Experience Application - Student Registration

First Name*

Last Name*

Email*

Phone*

Suburb (so that we can find a placement close to your home or school)*

Secondary School

Career Advisor Name

Career Advisor Email Address

Current Year Level

Dates available for work experience (your first available date should be more than 3 weeks from this application)

Would you be willing to travel if we find a confirmed Work Experience Placement?

Yes

No

Where did you hear about us?

How did you hear about our Work experience program?

Comments or questions