2026 Work Experience Form

STUDENT WORK EXPERIENCE APPLICATION FORM

Thank you for your interest in gaining work experience at City of Canterbury Bankstown. Placements are subject to availability operational capacity, and approval. Applications are reviewed during scheduled quarterly intake periods only. Please ensure all sections are completed and required documents uploaded.

PLACEMENT INFORMATION

Eligibility requirements

To be eligible you must be:

Currently studying Year 10, 11 or 12
Undertaking a relevant qualification in an Australian education institution (TAFE, University or Duke of Edinburgh)
Undertaking a relevant qualification with a RTO (Registered Training Organisation)

Please note

We have four application intakes each calendar year, with set deadlines for submissions. All applications are reviewed during these scheduled periods.
We cannot guarantee the availability of a suitable placement and due to the high volume of interest, we are unable to accommodate ad‑hoc requests and can only contact candidates who are actively being considered for available placements.
Preferred dates will be taken into consideration however placements will be offered according to business availability.
Work experience placements are for a maximum ninety 90 working days.
Students over 18 years will require a volunteer Working with Children Check (WWCC) clearance.
Copies of relevant documentation including: public liability, student placement form, placement form from an educational institute and course requirements for TAFE/University are required.
University/TAFE students will need to provide the course outline specifying work experience requirements including the required hours.

STUDENT INFORMATION

First name *

Surname *

Contact number *

Email address *

Home address *

Street address *

City *

State *

Postcode *

Please advise of any medical condition/allergies which may impact potential activities with Council *

Please advise of any special needs or reasonable adjustments (e.g. wheelchair access, carer, etc.) *

EMERGENCY CONTACT DETAILS

Emergency contact name *

Contact number *

Relationship *

EDUCATION INFORMATION

Reason for application *

High School Work Experience (Year 10 or 12)Work Placement/Internship requirement of qualificationIndependent Work ExperienceThe Duke of Edinburgh Award

Referring organisation/Education Institution

Qualification being studied (if relevant)

Preferred Area of Council you wish to undertake your placement within *

Briefly explain why you are interested in undertaking work experience at City of Canterbury Bankstown and what skills or experience you hope to gain. *

Have you completed work experience, volunteering, placement or any other unpaid work with the City of Canterbury Bankstown in the past 12 months? *

YesNo

If yes, please provide the dates, business unit/department and type of unpaid work completed.

Resume/CV *

Browse

Public Liability Insurance

Browse

Placement Letter from Educational Institution

Browse

Note - If you do not have Public Liability Insurance, Council can provide the relevant coverage.

Note - Letter needs to be on institution's letterhead. This is NOT where you upload the Student Placement Form.

Student Placement Form (if applicable)

Browse

WORKING WITH CHILDREN CHECK

If you are over 18 and looking to undertake a placement in a role that involves working with children, you will need to obtain a Working with Children Check number.

Student Work Experience requests will not be accepted unless the Working with Children Check number can be verified by the City of Canterbury Bankstown.

More information on Working with Children Checks and the application form can be found at www.newcheck.kids.nsw.gov.au

Working with Children Check (WWCC) Number

WORK EXPERIENCE DURATION & PREFERENCES

Quarter you would like work experience to take place *

Start date *

End date *

COMPLIANCE ACKNOWLEDGEMENT

Please review the attached infographics, which provide a short overview of important policies, including the Workplace Health and Safety Policy, Drug and Alcohol Policy, Code of Conduct and Child Safe Code of Conduct.

Acknowledging that you have read and understood these policies is a requirement before commencing your work experience placement.

Note: If you are under 18 years of age, a parent or guardian must also sign your placement form.

Code of Conduct: I have read and understood the Infographic, which summarises the ethical standards and expectations that CBCity employees are required to uphold.

*

Drug & Alcohol Policy: I have reviewed the Infographic, which provides guidelines for the responsible use of drugs and alcohol in the workplace.

*

WHS (Work Health and Safety) Policy: I have read and understood the Infographic, which outlines the procedures and precautions necessary to maintain a safe and secure workplace.

*

Child Safe Code of Conduct: I have read and understood The Child Safe Code of Conduct which ensures staff adhere to appropriate behaviour and child protection, playing a key role in the Council's commitment to child safety.

*

APPLICATION FORM SIGN OFF

I, *

I agree to the City of Canterbury Bankstown Code of Conduct and all other related policies including Equal Employment Opportunities and Work, Health & Safety.
I will approach my work experience/placement enthusiastically, be punctual and adhere to negotiated hours.
If I cannot attend my work experience I will notify the relevant supervisor and placement coordinator as soon as possible.
I acknowledge that my work experience or placement is voluntary and that I am not entitled to any remuneration from the City of Canterbury Bankstown.
I will ensure the relevant paperwork is completed before undertaking work experience or placement with the City of Canterbury Bankstown.

Student Signature *

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PARENT/GUARDIAN CONSENT (for applicants under 18)

I am the parent or guardian of the applicant named above.
I have reviewed the placement information and relevant policies, and I give my consent for my child/ward to participate in this work experience placement under the stated terms and conditions.

I agree to provide consent

Parent/guardian signature

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Privacy Notice

In submitting this form, you consent to Council:

1. collecting your personal information as contained in the form; and

2. using the information for the purposes outlined in the form and for any other Council function.Providing your information is voluntary. Should you choose not to provide the information, Council is unable to process your application/request. You may access any of your personal information that Council holds upon request.