Work Placement Form

WORK PLACEMENT FORM

    Section 1: Contact Details

    Organisation's Name* :
    Fax No* :
    Name of Authorised Person to Contact* :
    Email* :
    Position* :
    Training Location Area* :
    Contact No* :
    Contact Address* :

    Section 2: Training Opportunities to be offered by the Organization

    Training Field - Electrical* :
    Training Field - Instrumentation* :
    Training Field - Mechanical* :
    Training Field - Oil & Gas* :

    Section 3: General Information

    Working Hours* :

    From:
    To:
    Working Dates* :

    From:
    To:
    Can Student Use the Organization Transportation* :
    Can your Organization provide uniform/ coverall for students* :
    Scanned Signature* :
    Date* :