Proof of Placement Form

To complete your application for the financial assistance, Proof of Placement is required at the end of your clinical placement.

Please print the Proof of Placement form and complete it with your clinical supervisor.

All forms need to be either emailed, mailed or faxed to:

Thérèse Cossens
Student Placement Administrator
Department of Rural Health
The University of Melbourne
PO Box 6500
Shepparton VIC 3632

Phone 03 5823 4579

Fax 03 5823 4555