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* 1. First name

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* 2. Last name

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* 3. School

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* 4. Year level

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* 5. Contact teacher

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* 6. Contact teacher email

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* 7. Contact student email

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* 8. School phone number

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* 9. Subjects currently being studied

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* 10. Current career goal

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* 11. Write in 100 words or less why you would like to attend the careers camp

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* 12. What are two things you hope to take away from the camp?

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* 13. Please list any community involvement

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* 14. Anything else you would like us to know about you?

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* 15. Parents / guardians name

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* 16. Parent / guardians contact number

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* 17. Parent / guardians contact email

Your application needs to be endorsed by your school. By hitting "submit" below you are acknowledging that you have spoken to your teacher and have received their support should your application be successful. If successful we will be discussing your application your application with your teacher.

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