Toggle navigation 2021 REHB2037 Podiatry Practice 201 Load unfinished survey Resume later Exit and clear survey Login 0% default Caution: JavaScript execution is disabled in your browser or for this website. You may not be able to answer all questions in this survey. Please, verify your browser parameters. 2021 REHB2037 Podiatry Practice 201 OBSERVATIONAL PLACEMENTS REGISTRATION (This question is mandatory) Agency Detail Agency Name Street Number and Name Town / Suburb State Postcode (This question is mandatory) Agency Placement Contact Agency Contact Name/s Agency Contact/s Email Address Agency Contact/s Phone Number (This question is mandatory) How many students can your site accommodate for placement? Please note: Students can be paired. Please feel free to use this field to include any further relevant information to your agency, or placement offer/s: Submit Load unfinished survey Resume later Please confirm you want to clear your response? Exit and clear survey ×
