Please complete the following  form to apply for a place on a SPARQ-ed Immersion

Student details

Contact details

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* 1. Contact details

Date of birth (note you must be 15 years old at the time of the Immersion to participate)

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* 3. Date of birth (note you must be 15 years old at the time of the Immersion to participate)

Birthday
Student alternative email address

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* 4. Student alternative email address

Program dates- September Immersion is full. please complete the application for November only. 2017 offerings will be avialable soon.For information on the Immersions please click here

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* 5. Program dates- September Immersion is full. please complete the application for November only. 2017 offerings will be avialable soon.For information on the Immersions please click here

  Remaining preference N/A
N/A
November 28- December 2, 2016
The SPARQ-ed Bonus Rank Program (Optional).The SPARQ-ed Bonus Rank Program allows participants in the research immersion programs to complete an additional component which awards them a bonus point under the University of Queensland Bonus Rank Scheme. Information about this program can be found here: bonus rank information

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* 6. The SPARQ-ed Bonus Rank Program (Optional).The SPARQ-ed Bonus Rank Program allows participants in the research immersion programs to complete an additional component which awards them a bonus point under the University of Queensland Bonus Rank Scheme. Information about this program can be found here: bonus rank information

Parent/Guardian name

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* 7. Parent/Guardian name

Parent/Guardian contact phone number

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* 8. Parent/Guardian contact phone number

Parent/Guardian email address

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* 9. Parent/Guardian email address

Current STEM subjects studied and latest results (science, mathematics)

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* 10. Current STEM subjects studied and latest results (science, mathematics)

ACTIVITY LOG: please provide details of relevant STEM experience. This may include part-time work, volunteer work, science summer schools, NYSF, Optiminds, Science and Engineering Challenge, Brain Bee, Science competitions etc.
Description of activity

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* 11. Description of activity

Description of activity

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* 12. Description of activity

Description of activity

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* 13. Description of activity

Student interest statement: please provide a short statement (no more than a paragraph) describing what qualitities you can bring to the SPARQ-ed program, giving examples of where you have demonstrated these qualities. Explain why you want to take part in the program and any areas of special interest you may have.
Student interest statement:

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* 14. Student interest statement:

School Details
Please nominate a teacher who can write a brief letter of support for you. You will need to submit this to SPARQ-ed with your two reports if you are accepted into the program. The teacher can also email this to the SPARQ-ed team directly at: sparqed@uq.edu.au
Contact teacher details (teacher you will ask to write your recommendation)

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* 15. Contact teacher details (teacher you will ask to write your recommendation)

School information

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* 16. School information

School type

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* 17. School type

PLEASE NOTE: FEES ARE THE RESPONSIBILITY OF THE STUDENT, UNLESS A PRIOR ARRANGEMENT HAS BEEN MADE WITH THE SCHOOL. FEES FOR GOVERNMENT STUDENTS ARE ABLE TO BE OFFERED AT A REDUCED RATE DUE TO FUNDING PROVIDED BY THE DEPARTMENT OF EDUCATION AND TRAINING.   

Fees are payable by the parent via credit card 2/3 weeks prior to the commencement of the workshop.
If the school is paying, then an invoice will be sent to the school prior to the immersion.
Thank you for your application. If your application is successful you will be asked to provide your last two most recent reports and a brief supporting statement from a current science teacher acknowledging your interest and application. You will also be asked to complete a personal details and payment form.

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