Industry Placement Online Enquiry Form

1. Name:*
2. Company:
3. Position:
4. Email:*
5. Contact Number:
6. Location (City):
7. Are you interested in becoming an Industry Placement Employer?

   1. Yes
   2. No
8. Have you been involved in the Industry Placement program before?

   1. Yes
   2. No
9. Which area(s) of study at the Faculty of Design is suited to a placement with your company? Communication Design Digital Media Design FIlm and Television Industrial Design Interior Design
10. Comments:*