Student Placement Application Form Name Email Contact NumberName of place of study Address of place of studyWhat year will you be in for your requested placement? Type of placement required (please tick all that apply) Farm Pets Equine Do you drive? Yes No Will you have your own transport whilst on placement? Yes No Do you require accomodation? (We may have some availability in our shared accomodation at a cost of £100 per week) Yes No Please give up to 3 available dates in one or two week placement blocks (e.g. Monday 03/03/23)Any other information that you feel supports your placement requestI agree to the terms and conditions. Please ensure your tetanus jab is up to date. Check with your GP if you need to. CAPTCHA Submit
