Student Work Placement Cancellation / Variation Request Form Cancellation/Variations to confirmed Work Placements must be immediately notified to the Work Placement Team at Business Education Network to enable the placement to be re-allocated, if possible. Cancellations/vacations should only occur in the event of illness. Cancellations will not be accepted in the event of change of preference, sporting and/or work commitments or holidays. **PLEASE NOTE: 1 form is required per cancellation/variation** Please ensure to complete this form and either fax or email back to our Work Placement Team at: Fax: 02 9907 1594 Carolina Barajas Email: cbarajas@nbben.com.au Kim Walsh Email: kwalsh@nbben.com.au School Name: Phone Number: Details of Cancellation / Variation Date of Confirmed Placement: ___________________________________________________ Name of Employer: ____________________________________________________________ Name of Student: _____________________________________________________________ Reason for Cancellation/Variation: _______________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Name of Replacement Student (if applicable): ______________________________________ Notified by: __________________________________________________________________ Date of Notification: ___________________________________________________________ Signature of VET Coordinator: ___________________________________________________ Business Education Network Inc. TEL: (02) 9986 3339 FAX: (02) 9907 1594 WEB: nbben.com.au Lot 4 Tumburra Street, Ingleside NSW 2101