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Placement Expression of Interest

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Expression of interest

Please complete the following form to register your interest in undertaking knowledge exchange placement.

Secondments EOI

Name *

First

Surname *

Last

Email *

Institution *

Department *

Line Manager

Name *

First

Surname *

Last

Email *

Your Placement

Is there a specific University or research group you would like to visit? *

Yes

No

Please select a University from our registry, or select 'other' to enter your own option *

Other university or research group *

Do you have a named contact there? *

Yes

No

Contact Name *

First

Surname *

Last

Contact Email *

What skills or experiences are you hoping to gain from a placement? *

Do you have specific skills or expertise you could bring to a placement role? *

What length of placement are you interested in? *

1 day

2 - 3 days

1 week

2 weeks

1 month

Longer

Have you ever participated in a placement before? *

Yes

No

Please briefly describe your past placement experience

Do you have any concerns about going on a placement? (e.g. impact on current role, family considerations)

Any additional comments or suggestions regarding placement opportunities

If you are human, leave this field blank.

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