Student Placement Record

The following information is required in order for QMU to facilitate your placement. The details that you provide may be shared with your placement team only insofar as it is necessary to do so. QMU shall at all times fully comply with and adhere to the terms of the Data Protection Act 2018 and the General Data Protection Regulation.

If you would like more information on how we control or process your data please read our Privacy Statement.

Please ensure that this form is completed no later than 4 weeks before your proposed start date.

About You



Further contact details

In the case of an emergency we will need to contact someone. This is often a family member, such as a parent, or guardian, or your partner.

Your placement - please complete details of your placement

If your placement is paid, your salary/agreed payment is NOT required.

If there is any other information that might impact upon your placement, please outline this in the box below: