Student Placement Information

Work placement is a critical component of your study where you will be undertaking activities in the workplace that directly relate to knowledge and skills learnt throughout your course. Students already employed in the industry may be able to meet work placement requirements at their current workplace.

The information collected in the following questions will be able to assist Akadia in determining the most appropriate placement pathway for each individual student.

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- Step 1 of 8

1. Student Details

Name *

First

Last

Email *

Confirm Email

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2 Employment Status

Are you currently employed in the Aged Care or Disability sector? *

Placement Readiness Information

Although you are not currently employed in the Aged Care or Disability sector, completing this questionnaire will assist Akadia Training in preparing for your future vocational placement.

Please note that you cannot commence placement until the following requirements have been completed:

✔ You have achieved 100% in the CHCCCS031 – Provide Individualised Support knowledge assessment.

✔ You have attended at least one practical skills session at the Akadia office.

Once these requirements have been met, the Akadia Team will progress your placement arrangements.

Would you like to undertake your mandatory 120-hour placement at your current workplace? *

Workplace Details

Workplace Name *

What is your current position? *

Do you have a supervisor who can support, supervise and observe you throughout your placement? *

Yes
No
Unsure

Please continue to complete the full questionnaire. This will include your placement preferences in case another host organisation is required. Your Placement Coordinator will review your responses and contact you to discuss your placement options.

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3. Workplace Suitability Assessment

To meet the performance evidence requirements of your course you must be able to show evidence of the ability to complete the tasks contained within the units CHCCCS040 Support independence and wellbeing and CHCCCS031 Provide individualised support in the workplace.

To determine if your workplace is suitable to meet the requirements of placement, we will need to gather some further information.

Please speak to your current workplace supervisor or your trainer at Akadia if you require assistance completing this section.

To the best of my knowledge, my workplace can provide opportunities for me to:

Support the independence and wellbeing of at least three (3) different clients/participants. *

Yes
No
Unsure

Apply person-centred support practices when delivering care and support services *

Yes
No
Unsure

Promote and encourage individual strengths, choice, independence, and decision-making. *

Yes
No
Unsure

Support clients’ social, emotional, cultural, and physical wellbeing. *

Yes
No
Unsure

Demonstrate dignity of risk while meeting duty of care obligations. *

Yes
No
Unsure

Communicate effectively with clients, colleagues, families, carers, and other relevant stakeholders. *

Yes
No
Unsure

Complete and maintain workplace documentation and records relating to support activities in accordance with organisational requirements. *

Yes
No
Unsure

Follow workplace policies and procedures relating to client rights, privacy, confidentiality, and ethical practice. *

Yes
No
Unsure

Receive appropriate supervision and opportunities to demonstrate the skills and knowledge required for CHCCCS040 – Support Independence and Wellbeing. *

Yes
No
Unsure

Based on your responses, your workplace may not be able to provide sufficient opportunities for you to meet the all the assessment requirements for CHCCCS040 – Support independence and wellbeing.

Please note that this does not mean that you may not be able to complete some or even all of your workplace hours at your current workplace. Your Placement Coordinator will review your responses and contact you to discuss your placement options.

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4. Workplace Supervisor Details

Supervisor Name *

Supervisor Postition *

Supervisor Email *

Supervisor Phone *

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5. Placement Availability and Preferences

What is the furthest you are willing to travel for placement? *

Up to 10 km
Up to 20 km
More than 20 km

Do you have reliable transport to travel to and from placement? *

Which days are you available to attend placement? *

Monday
Tuesday
Wednesday
Thursday
Friday

Do you have any restrictions around the hours you can complete placement? *

Please provide details *

What shifts are you available to work? *

Morning Shift
Afternoon Shift
Evening Shift

Please note that in Residential Aged Care shifts are usually as follows: • 6:00 am – 2:30 pm: Morning Shift • 2:30 pm – 10:30 pm: Afternoon/Evening Shift Shifts at disability support organisations differ depending on the individual organisation.

Which placement setting are you seeking?

Residential Aged Care
Disability Support
Either
Both

Please only answer the following question if you are studying the Certificate III in Individual Support (Dual) qualification. Students studying either the Disability or Ageing specialization will need to complete their placement in their respective industry.

Are there any specific organisations you would like us to try and arrange placement with? *

No preference
Yes

Please provide details *

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6. Placement Documentation

Do you currently hold any of the following documents? *

NDIS Worker Screening Check (Yellow Card)
National Police Check
Current First Aid Certificate
Current CPR Certificate
Working with Children Check (Blue Card)
None of the above

Different placement organisations have different compliance requirements. Akadia Training will advise you of the specific documents required by your placement provider.

Please note: A current First Aid and CPR Certificate is mandatory for all placements. These must be obtained before commencing vocational placement.

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7. Additional Information and Support Requirements

Do you have any medical conditions, injuries, or reasonable adjustment requirements that may affect your placement? *

Please provide details *

Is there any additional information that may assist us in arranging a suitable placement? *

Please provide details *

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8. Student Declaration

Please read and confirm the following:

I declare that the information I have provided in this questionnaire is true and correct to the best of my knowledge.

I understand that the information provided will be used by Akadia Training to assist with arranging my vocational placement and may be shared with prospective host organisations where necessary.

I acknowledge that while Akadia Training will make every reasonable effort to consider my placement preferences, including my preferred location, availability and placement setting, placement opportunities are subject to host organisation availability, suitability and operational requirements. I understand that my preferences cannot be guaranteed.

I acknowledge that I am required to complete 120 hours of vocational placement as part of my course requirements.

I understand that I may need to make personal arrangements, including arranging leave from work, childcare, transport or adjusting other commitments, to successfully complete my placement schedule.

I acknowledge that completion of all required placement hours and compliance with placement requirements are essential conditions of my course progression. Failure to meet these requirements may result in suspension of progression, delayed course completion, additional placement obligations, and, where applicable, the withdrawal of funding or financial support.

Agree to Declaration *

I have read, understood, and agree to the above declaration.

medical placement? Please

Signature *

Clear Signature

Signature Required

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Street Address

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Postal Address

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