PHPS Request for Placement Form
Thank you for expressing an interest in completing your placement at our school, please fill in the form below with all the details of your required placement. Once this is submitted, we will look at your requirements and our placement calendar to see if we have any aviailability to suit your needs.

While we endevour to contact you as soon as we can, please be patient as this may take up to 2 weeks. If you have less than 6 weeks prior to your placement needing to begin, plese be aware we may not be able to accommodate this at short notice.
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Name *
Phone Number *
Email Address *
Type of Placement Required *
Institution You are coming from? *
Dates Required- please note specific dates or your request may not be considered. *
Year of Study you are currently completing *
How many days do you need to complete? *
What year level are you required to work in for your placement? *
Is there anything else we need to know about this placement?
Thank you for your expression of interest, we will be in contact shortly.
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