QUT Faculty of Engineering would like to offer the students of your school the QUT Dean’s Award for Design Prize, which rewards a Year 11 and a Year 12 Design student with the highest academic result in their cohort. Please make nominations where indicated below.

Question Title

1. School's Full Name (No Abbreviation) (Required.)

Question Title

2. Mailing address for the awards (P.O. Box or school address)

Question Title

3. Design Teacher Contact Name (Required.)

Question Title

4. Design Teacher Position/Title (To avoid duplication for nominees, Only Head of Department (HOD) to nominate please. In the case of no HOD available, let there be a consensus of nomination between teachers.)

Question Title

5. Design Teacher's Best Contact Phone Number

Question Title

6. Design Teacher's Email

Question Title

7. Year 11 subject award winner (if none, please mark n/a)(no tie nominations) (Required.)

Question Title

8. How will the Year 11 award be presented? 

Question Title

9. Estimated date award is required by (Please note an allowance of 7 days for Production of certificate & letter, and postage delivery prior to the required date. Please don't leave it to the last moment, thank you!)

Date

Question Title

10. Year 12 subject award winner (if none, please mark n/a)(If a tie nominations, we will provide a JB Hi-Fi- Gift card while the school will sponsor another one. However, we will honor both's bursary of $3,000 if they both enrol at QUT later) (Required.)

Question Title

11. How will the Year 12 award be presented?

Question Title

12. Estimated date award is required by (Please note an allowance of 7 days for Production of certificate & letter, and postage delivery prior to the required date. Please don't leave it to the last moment, thank you!)

Date

Question Title

13. Will you require a QUT representative to present the award/s? (Please communicate with your school's administration if they already have a delegate in mind before you answer this question)

T