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South West Marine Debris Cleanup Teacher Application

Application Form

Question Title

1. Contact Details

Name *

School/Organisation *

Postal address

Postal address line 2

City/Town *

State *

Postcode *

Your email address *

Your phone number *

Question Title

2. Applicants must be Australian Science Teacher Association (ASTA) members to be eligible for this position. All state based science teacher association members (eg. STAT, STANSW, SASTA, STAV etc.) are automatically ASTA members but if you don't know your ASTA member number please provide the state based association member number.

ASTA member (preferred)

STAT member

SASTA member

STAV member

STANSW member

STANT member

SEAACT member

STAWA member

STAQ member

I am not a current member but will join if selected

Member number: