Regional Businesses, please complete the EOI and we will get back to you

Fields marked with * are required.

Title *

First Name *

Last Name *

Email *

Best Phone to contact you on *

Your position (e.g. Owner, Community Liaison Officer) *

Name of Business/Department/NGO *

Type of Business (e.g. Pharmacy, Council) *

Where is the business (Town, State, Postcode)

What discipline of student do you need ( e.g. Engineering, Marketing)

When do you need the student (Month/Year)

What are you offering the student *

Paid Position

Volunteer Role only

Accomodation

Transport

Please briefly describe the role the student would be doing

Could this position generate to a full time placement *

Yes

Maybe:

Would you move from the city to work in regional Australia?

	Yes - Definitely
	No - Definitely not
	Maybe - if I had friends there
	Maybe - if I was paid more than in the city
	Maybe...first I'd want to sample Work Experience via Brolga!!