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Project Choice placement request

Project Choice placement request form

Project Choice is a work based programme which supports young people (16-25 years) who have learning disabilities, difficulties or autism with the social and work based skills needed to enable them to become work ready and help them to understand the pathway in to employment. Placements last for 12 working weeks in general but this is flexible.

Your details


Job title

Team/Ward or Department



Contact number


Placement Details

Will the student report directly to you*

If no, who will they report to?

Where will the placement take place?

Is the placement a clinical or non-clinical placement?

What work will be undertaken by the student?

Please list any essential skills the student requires to undertake the placement

What days would you like the person to work?*

What will be the hours of work*

Is there a possibility of the placement becoming perminent

By clicking on the submit button, you are confirming that you have provided as much information as possible at this time. A member of the Project Choice Team, will contact you in due course to discuss your application in further detail.

Email 2*:

* required fields


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