Express my interest – Student

If you’re a girl in year 9 and 10, are a passionate, high performer in STEM subjects and want to be considered for this program, then fill in the form below. Applications received are considered EOIs for the 2023-24 program for students in year 9 and 10 in 2023.

Applications close Friday 29 September, 2023.

This program will begin in December 2023. If you have any questions, please contact us.

"*" indicates required fields

Your name*

First Last

Email address*

Please ensure this is a personal (non-school) email that is regularly checked

City*

State*

Are you of Aboriginal or Torres Strait Islander descent?*

Yes

Parent/Guardian name*

First Last

Parent/Guardian email*

Please ensure this is an email that is regularly checked

Parent/Guardian contact number*

If landline, include area code

School name*

Please indicate if you are home-schooled

School state*

Year level in 2023*

Year 9

Year 10

Are you receiving an Educational Scholarship to attend school?

Yes

If yes, please provide the name of your Scholarship

Are you a boarding student?

Yes

If yes, which city/town do you come from?

Please provide the name of your science or maths teacher*

If you are homeschooled, please provide the name of a personal referee

Prefix First Last Suffix

Your teacher's school email*

Or your referee's best contact email

Contact number for your teacher/referee or school office*

If landline, include area code