Evidence of how I meet the 6 months (960 hours)... NAME: APPLICATION NUMBER:

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Evidence of how I meet the 6 months (960 hours) work experience requirement.
NAME:
APPLICATION NUMBER:
It is candidates’ responsibility to make their experience sufficiently clear in order to demonstrate that
the minimum total of 960 hours are met. (Please note that normally, a maximum of 240 hours can be
counted for Placement Learning experience). This form can be used to provide summary and total
hours to support your application.
LINE MANAGER &
AGENCY DETAILS
(INCLUDING PHONE
NUMBER)
BRIEF DESCRIPTION OF LENGTH OF TIME
WORK
WORKED (IN HOURS –
37 HOURS=1 WEEK)
Other details
TOTAL HOURS
EXPERIENCE
To support your application, this form is used to provide a summary and accurate overview of the
total hours worked.
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