Teachers into INDUSTRY
PROFESSIONAL DEVELOPMENT FOR TEACHERS
2013 APPLICATION FORM
Thank you for registering your interest to participate in the Teachers into Industry program.
Your Placement can be registered as Professional Development through the Victorian
Institute of Teaching.
To ensure you get the most out of your industry placement, we ask you to provide some
information about yourself so that we may better assist you in sourcing your ‘host employer’.
The information you provide will become your profile and will be forwarded to your host
employer to help them prepare for your placement.
The Murray Mallee LLEN will endeavour to secure placements for all applicants where
possible. To assist us in doing so would you kindly complete the Your Profile section and
return as soon as possible.
YOUR PROFILE
NAME:
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SCHOOL:
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MALE / FEMALE:
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PHONE (School):
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EMAIL:
MOBILE:
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Please list your areas of teaching:
1
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2
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Name of employer/s or preferred industry sector where you would like to complete
your industry placement:
1
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2
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Comments:
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*If you have prior contact or dealings with this employer, please provide any details that may assist in securing your placement.
Alternatively, please indicate if the MMLLEN may assist you to identify a suitable ‘host employer’.
THANK YOU for your application!
You will be contacted when your placement opportunity has been confirmed. Further
information will be forwarded to enable you to negotiate a suitable time to meet your “host”
employer and discuss the finer details of your placement. You and your employer will
organize the time and the date of your placement.
Completed applications may be forwarded by email
73a Beveridge Street, Swan Hill VIC 3585
Phone: (03) 50332017
Email: [email protected]
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