FACULTY OF SCIENCE, ENGINEERING AND BUILT ENVIRONMENT

SCHOOL OF LIFE AND ENVIRONMENTAL SCIENCES

SLE390PROFESSIONAL PRACTICE IN BIOSCIENCE

APPLICATION FOR PLACEMENT FORM

Student Details:

Family Name: ______First Name: ______

Student ID: ______Deakin Email: ______

Course Code and Name: ______

Completed credit points: ______(NB: you must have completed a minimum of 14 credit points to be eligible to undertake SLE390 Professional Practice in Bioscience)

I have passed the online unit STP010 Introduction to Work Placements

I have read the Practical Training Program Agreement – Student Fact Sheet on the website: ( and acknowledge my obligations under this agreement:

I have kept a copy of my submitted Application for Placement Form for the purposes of assessment.

Student signature: ______Date: ______

______

Organisation Details:

Organisation ABN (Australian Business Number):______

Organisation Name: ______

Supervisor/Manager: ______

Position Title: ______

Address: ______

Suburb:______Postcode: ______

Phone:______Email: ______

Email or letter attached confirming the organisation has agreed to supervise the placement.

OR

Supervisor’s signature ______

Proposed Placement Dates: Start: ______End: ______

Proposed Number of Hours: 40 hours80 hours

Continued over page

Student to complete the sections below (add additional pages if necessary):

Briefly outline your career aspirations and goals.

Briefly outline the primary activities of the organisation.

In as much detail as possible, explain the activities you will be undertaking while on this placement. The placement must provide hands on experience and must not be observational only.

Explain how the activities outlined above relate to your course and career goals.

Provide an explanation and information about key professional skills that you intend to acquire through your placement activities. You must make specific reference to the relevant Deakin Graduate / Course Learning Outcomes that will be developed through this placement in your explanation below. The DGLO categories are listed below; CLOs can be found within your course CloudDeakin site. You must also tick the relevant boxes in the table below

DEAKIN GRADUATE LEARNING OUTCOMES (GLOs):

GLO / Description / Tick the relevant GLO / Indicate relevant CLO (eg. CLO1.2) / GLO / Description / Tick the relevant GLO / Indicate relevant CLO (eg. CLO1.2)
GLO1 / Discipline-specific knowledge and capabilities: appropriate to the level of study related to a discipline or profession / GLO5 / Problem solving: creating solutions to authentic (real world and ill-defined) problems
GLO2 / Communication: using oral, written and interpersonal communication to inform, motivate and effect change / GLO6 / Self-management: working and learning independently, and taking responsibility for personal actions
GLO3 / Digital literacy: using technologies to find, use and disseminate information / GLO7 / Teamwork: working and learning with others from different disciplines and backgrounds
GLO4 / Critical thinking: evaluating information using critical and analytical thinking and judgement / GLO8 / Global citizenship: engaging ethically and productively in the professional context and with diverse communities and cultures in a global context

Important notes:

Submission of this Application for Placement Form does not constitute confirmation of the placement.

Please allow a minimum of one month for processing of your application form and legal agreements to be executed where no agreement is in place, and a minimum of seven business daysfor processing where there is an agreement in place.

You cannot commence a placement until you have been advised by the Professional Practice Placements Coordinator that the placement has been finalised. Any placement that has commenced before agreements between Deakin University and the host organisation are in place, and before receiving confirmation and approval from the Professional Practice Placements Coordinator, WILL NOT be counted towards the 80 hours work placement requirement for the Professional Practice units. Work Placements cannot be counted retrospectively.

If you have not provided all the information requested on this form, it may cause delays processing your application.

Return the Application for Placement Form to: Professional Practice Placements Coordinator, School of Life and Environmental Sciences, Faculty of Science, Engineering and Built Environment, 221 Burwood Highway, Burwood, Vic. 3125; fax: 03 55633462; or email:

School of Life and Environmental Sciences, Faculty of Science, Engineering and Built Environment,

Melbourne Burwood Campus, 221 Burwood Highway, Burwood, VIC 3125

Tel 03 92446800 Fax 03 55633462 email:

CRICOS Provider Code: 00113B 3B

3B

3B