Student Clinical Placement and Project Proposal Enquiry

Name:
Course you are studying:
Institution you are studying through:
Email:
Phone:
What are you hoping to do at MIND the GaP?

What are you hoping to do at MIND the GaP? Clinical Placement Project-Based Clinical Placement Student Research Project Other
Other (Please provide details below):
When do you want to do this with MIND the GaP?
Upload pdf file of your project outline

Attach Files
Data Collection Statement

The Information you provide will only be used by UOW in regards to establishing clinical placements at MIND the GaP.

Information provided will be stored in our secure data base and will only be accessed by staff managing MIND the GaP clinical placements and projects.