Title

First Name *

Last Name *

Email Address *

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Authority Name *

Job title *

Address

Address 2

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What areas of regulation do you specialise in? Click on as many boxes as apply: *
Trading standards
Environmental health
Licensing
Fire safety

Where are you able to attend a placement? Click on as many boxes as apply:
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North East England
North West England
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East Midlands
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Which sector would you prefer your placement was in? Click on as many boxes as apply:
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Food retail
Non-food retail
Catering
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