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EMPLOYER CERTIFIED WORK EXPERIENCE DIARY (v4.

19) Course: ENG 2909 / 3909 / 4909 (circle)

USQ Student (Number): _________________ (Name): ________________________________________ Completing a Major in: ____________________________

has undertaken work experience with (Company or Organisation Name): __________________________________________________________________________

Dates Dot point Summary of Activities Number of


(or date ranges) (at least 250 words for every 3 weeks of work placement – minimum 10pt font) days per
Must include – tasks/activities ; tools/software used ; interaction with others ; standards/documents used ; outcomes/work product activity

Total

I confirm that the student has participated in activities as summarised above.

Supervisor’s Name: _______________________________ Supervisor’s Signature: _____________________________________ Date:________________

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