PEP Expression of Interest - Master of Physiotherapy - Professional Experience Placement

Required fields are marked with an asterisk (*).

PEP Expression of Interest - Master of Physiotherapy

Contact details

Agency *

Contact Person *

Contact Person Position *

Contact Person Email *

Foundations of Physiotherapy (CXA752)

Student Capacity * (20^th October - 31^st October 2025)

Student Capacity * (3^rd November – 14^th November 2025 )

Student Capacity * (24^th November – 5^th December 2025)

Typical Work Hours *

Please Describe Your Caseload *

Do you require students to complete any organisational onboarding *

Organisation onboarding, please explain

Student’s Practicum Supervisor Information

Primary Supervisor Name *

Primary Supervisor Email *

Position Title/Qualification *

Years of Clinical Experience *

Other Supervisor (1)

Other Supervisor Name

Other Supervisor Email

Position Title/Qualification

Years of Clinical Experience

Other Supervisor (2)

Other Supervisor Name

Other Supervisor Email

Position Title/Qualification

Years of Clinical Experience

The information being collected by the University of Tasmania is for the purpose of establishing availability for University of Tasmania student placements in your organisation and to communicate with your organisation regarding student placements. Please note information provided will be retained in our system. This information will only be used for the purposes outlined above and in accordance with the University's Privacy Statements and disclosed to employees of the University who require the information to properly carry out their duties.

The University will ensure your personal information is not used for another purpose or disclosed to third parties without your consent unless such a disclosure is required or permitted by law. Personal Information will be managed in accordance with the Personal Information Protection Act 2004, Privacy Act 1988 (Cth), the University of Tasmania's Privacy Policy andPrivacy Statements which can be accessed at www.utas.edu.au/privacy. For information on how your personal information is being used or stored or to access your personal information, please refer to the link above. You also have the right to request access to your personal information held by the University in accordance with the Right to Information Act 2009 (Tas) and the Government Information (Public Access) Act 2009 (NSW) (PDF).