Application Form
Student placement with Act for Change 2017
Email address *
First Name *
Your answer
Surname *
Your answer
Email
Your answer
mobile number *
Your answer
Institution of Higher learning *
Your answer
Please answer the following questions
Why do you specifically want a placement with Act for Change? *
Your answer
What are your learning goals for your placement? *
Your answer
Please describe your experience of working with children and young people, where you worked and for how long *
Your answer
Have you ever had any kind of ethical or legal complaint filed against you? If so, please give details *
Your answer
Are there any children or young people or specific situations you prefer not to work with? and why? *
Your answer
We recommend that you work no less than 8 months on your placement with Act for Change.Are you prepared to commit to Act for Change for the 8-month duration? *
We require a half-day commitment (afternoon or evening) to work with upto 3 young people a week; 1 and a half hours of weekly group supervision; completing paperwork and scheduling with the young people. This can sometimes be challenging and requires a degree of flexibility in your schedule to accomodate this. can you commit to all of the above? *
Please use this space to outline any other interest, concerns or goals you may have about taking a placement with Act for Change *
Your answer
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