Work Experience Application

Whitehorse Manningham Libraries Work Experience Application

Are you in Year 10 or above? *

YesNo - please do not continue your application

First Name *

Last Name *

Month and year of birth *

Suburb (home) *

Contact telephone number *

Email Address *

Name of the school you attend *

Please provide us with the name of your work experience coordinator and their contact details *

What date would you like your placement to begin? *

What date would you like your placement to end? *

Are you able to work Monday - Friday throughout your placement? *

YesNo

Briefly explain why you would like to do your work experience at Whitehorse Manningham Libraries. *

Is there any other information that we need to know in order to process your application?

If you have any accessibility requirements please provide details below.