APPLICATION GUIDELINES

Follow the steps below to complete your application to QUTs Vice-Chancellors STEM Camp:

1. Complete the attached Application Form.

2. Write a 300 word Statement of Purpose describing your interest in science, technology, engineering and mathematics.

3. Ask your parent or guardian to sign your application.

4. Meet with your Teacher, Guidance Officer or Principal to discuss your application and ask them to complete the attached Letter of Recommendation Form supporting your application.

5. Provide us with a copy of your Term 4, year 10 and Term 1 year 11 high school academic report.

6. Post or email your application by 5pm, 6 May 2013.

PLEASE NOTE:

A completed application does not guarantee acceptance into the Vice-Chancellors STEM Camp.

Offers of a place will be made on the basis of information given on your application.

The decisions of the selection committee are final.

Students must be able to stay for the duration of the Vice-Chancellors STEM Camp.

Successful applications will be notified in writing in mid-May.

For further information contact the QUT School Experience Officer:

PHONE

07 3138 1801

EMAIL

stem.schools@qut.edu.au

SUBMITTING YOUR APPLICATION

This application form must be completed in full, along with the supporting documentation, and returned by mail or email by Monday, 6 May 2013.

Incomplete or late applications cannot be processed.

MAIL:

QUT Vice-Chancellors STEM Camp

Science and Engineering Faculty

Level 4, O Podium

2 George Street

Brisbane

QLD 4001

EMAIL

stem.schools@qut.edu.au

Guidelines

APPLICATION CHECKLIST

There are three sections on the application that must be completed. Please ensure that you allow enough time for all parts of this application to be completed as three different people need to contribute to your application.

Section

To be completed by

Completed

Section 1

You, the applicant, must complete and sign.

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Section 2

You, the applicant, must complete.

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Section 3

Your parent or guardian must complete and sign.

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SUPPORTING DOCUMENTATION

Applicants must post or email the complete application form and include the following supporting documents:

Document

To be completed by

Attached

Academic Transcript

(Term 4, Year 10 & Term 1, Year 11)

Official document provided by your school.

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Letter of Recommendation

Written and signed by your Teacher/Guidance Officer/Principal.

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Applications close Monday, 6 May at 5pm (close of business)

Applicants will receive a confirmation email from the QUT School Experience Officer to confirm that their application has been received.

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APPLICATION SECTION 1

Applicants Name:

School:

APPLICANT (STUDENT) TO COMPLETE

PERSONAL DETAILS

First Name:

Gender:

Last Name:

Date of Birth:

Email address:

Postal address:

SCHOOL DETAILS

School:

Postcode:

Teachers Name

Have you previously attended a QUT event?

If yes, please list:

STEM PREFERENCES

Students will work in teams of 3 or 4 on a research topic in Science, Technology, Engineering or Maths.

Please indicate your preferred STEM field by numbering the boxes 1 to 4, with one being your first preference. Applicants will be offered their first preference where possible.

Science

Technology

Engineering

Mathematics

STATEMENT OF OBLIGATION

If I am selected for the Vice-Chancellors STEM Camp, I agree to comply with the safety regulations and instructions of the Vice-Chancellors STEM Camp management and staff during my participation in the event.

In particular, I agree to comply with the rules: no smoking, no alcohol, no drugs, and appropriate mobile phone use. I understand that if I fail to keep to these rules, I may be returned home by the first available transport, with any costs incurred being payable by my parent/guardian.

Signature of Applicant:

Date:

|_| Please confirm that you have read and understood our Application Guidelines (pages 1 and 2) before submitting this form.

APPLICATION SECTION 2

Applicants Name:

School:

APPLICANT (STUDENT) TO COMPLETE

STATEMENT OF PURPOSE

In 300 words or less, describe your interest in science, technology, engineering and mathematics.

Section 1: Student Details

Section 2: Statement of Purpose

APPLICATION SECTION 3

Applicants Name:

School:

PARENT/GUARDIAN TO COMPLETE

PARENT/GUARDIAN DETAILS

Name:

Relationship to Applicant:

Email:

Contact number:

DECLARATION OF PARENT/GUARDIAN

I, the parent/guardian of (name of applicant) approve of his/her participation in the Vice-Chancellors STEM Camp at the Queensland University of Technology, Monday 24 to Friday 28 June 2013.

If they are selected, I agree to deliver the student to the departure point (closest airport/train) in time for scheduled trip.

I understand that my child/ward, if offered a place, will be required to comply with the instructions and rules of the Vice Chancellors STEM Camp management and staff. I understand that this application does not guarantee acceptance into the Vice Chancellors STEM Camp, that an offer of a place is based on the information given in the application and that the decisions of the selection committee are final.

I note that my child/ward has accepted the Statement of Obligation set out in Section 1 of this Application. I endorse their undertaking and accept the consequences of a serious breach of their obligation.

Signature of Parent/Guardian:

Date:

Section 3: Declaration of Parent/Guardian

Section 4: Sign Off by Principal/Deputy Principal