Host Enquiry Form

Host Enquiry Form

Thank you for your interest in partnering with Kangan Institute to provide practical placement opportunities for our students.

Your participation helps students gain valuable workplace experience and contributes to the development of future industry professionals.

Please complete the form below, and a Placement Coordinator will contact you to discuss your organisation’s suitability and next steps.

Section 1 – Organisation Details

Organisation Name*

Trading Name (if different)

ABN*

Industry Sector

Type of Organisation

Website

Primary Contact Name*

Position Title

Email Address*

Phone Number*

Address*

Suburb*

State*

Postcode*

Preferred placement location(s):

Section 2 – Placement Opportunity Details

Which discipline areas are you interested in hosting students from?

Approximate number of students you can host at one time:

Preferred placement duration / frequency:

Briefly describe the type of experience, tasks, or activities students would undertake:

Will students have a designated supervisor/mentor during placement?

If yes, please provide supervisor name and role:

Section 3 – Workplace Readiness

Does your organisation have appropriate insurance coverage for student placements?

(Public Liability and/or Professional Indemnity insurance are recommended.)

Are Work Health & Safety (WHS) procedures in place?

Can you complete Kangan Institute's Due Diligence & Placement Form before hosting students?

Do students need to meet compliance (eg: WWCC, Police Check, or immunisations) before placement?

If yes, please list:

Section 4 – Additional Information

Please provide any additional comments or preferences regarding placement arrangements:

Section 5 – Declaration

The information provided is true and accurate to the best of my knowledge.

By submitting this form, I confirm that:

I understand that this form is an initial expression of interest only, and that a Placement Agreement and Due Diligence process must be completed before any student placement can occur.

Name*

Position Title*

Date*

Some or all of this training is delivered with Victorian and Commonwealth Government funding. © Bendigo Kangan Institute: RTO number 3077 | ABN 74 802 942 886 | CRICOS Provider Number 01218G

Kangan Institute acknowledges their campuses are located on the ancestral lands of the Wurundjeri people of the Kulin Nations. The institute respects the traditional custodians, elders and their cultural heritage.

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