Personal Details	
Name …………………………………………………………………………………..............
Home Address …………………………………………………………………………………
Contact Number ……………....................... e-mail ….…………………………………….	
Placement Request Details	
Preferred Service Area ……………………………………………………………………….
Dates of Placement Requested. From…………………………To…………………………	
Further information about or range of services can be found on our website www.conwy.gov.uk

If you are unsure which service to request or do not have a particular service in mind, please tick the areas of work you are interested in and outline the type of placement you are requesting;

	Administration
	Finance
	Environmental Services 
	Leisure Services/ Tourism/ Catering
	Information Technology ( IT)
	Libraries/ Business Services
	Social Care/ Education 
       Legal / Human Resources           
       Marketing/ Events/ Communication
       Regulatory Services
        Technical Services/ Engineering/ Architecture

Please give brief details on why you are interested in a placement with Conwy County Borough Council, what skills you hope to develop and what you would like to gain from the experience: 

	

Are there any special arrangements which you will require during your placement?
	
We will do our best to accommodate your request, however due to operational reasons this may not always be possible.

Please return this form along with a copy of your CV and any supporting information to
training@conwy.gov.uk