Placement Request

Please complete this form to express your interest in completing a placement with BrightStart Caledon Family Centre. We use this information to assess your request and contact you regarding next steps. Please note: Completing this form does not guarantee a placement opportunity. All requests will be reviewed, and placements will be offered based on availability and suitability

Placement Request

Name

First Name

Last Name

Date

Phone

School/College/University/Organization Name:

Course or Program Name

Preferred Start Date:

Number of Hours Required:

What are the goals of this placement?

Skills you hope to develop?

Preferred Workdays and Times:

Preferred Location:

Comments

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