Real World Placement Program Placement Assessment Form Under certain conditions Personal Accident Insurance coverage is available for unpaid work experience outside the curriculum (not for credit) as part of the Careers and Employment Real World Placement Program (RWPP). Application Process Complete this application form and email it to rwpp@qut.edu.au for consideration. The RWPP team will contact the host organisation to seek clarification on what the placement will entail, and to ensure that the placement meets program requirements. The RWPP team will contact the student within 10 working days to let them know whether the placement has been accepted into the program or not, and will provide further advice on the next steps. Conditions If approved the work experience must be undertaken through the Real World Placement Program (RWPP), this involves attending a mandatory hour long orientation session. The student must be currently enrolled or have graduated no more than three months ago. The work experience must be directly related to the student’s current course of study. Work experience is undertaken for a period necessary to observe or learn from the host organisation and is no more than 30 days (240hours) in a year. Student Details Name Student number Telephone Email Faculty Current course title Completion semester and year Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Proposed Work Experience Details Organisation name Click here to enter text. Organisation website Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Organisation contact person Contact person job title Contact telephone Contact email Work experience duties relevant to your course Click here to enter text. Learning outcomes relevant to your course Click here to enter text. Work experience dates and approximate total hours From DD/MM/YY to DD/MM/YY 00 total hours Please Note This is an application only each submission will be considered and assessed on an individual basis. For more information about the Real World Placement Program visit http://www.careers.qut.edu.au/student/rwpp/index.jsp