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Educators & teachers:
Nomination form

This is the nomination form for early childhood educators and teachers nominating in the Little Scientists Early STEM Education Awards.

Before you start completing this nomination form, please read the following important advice:

Start by reading this nomination form in full. This view-only version is helpful for planning purposes.

Draft and finalise your responses in a separate document BEFORE completing this online form. This is because SurveyMonkey does not allow you to save and edit your responses at a later time.

Read about our theme “Gender bias in early STEM” on the Awards Project Support page here.

We're here to support you! For any questions, please email awards@littlescientists.org.au or call (02) 8080 0065.

SECTION 1. Tell us about you

Question Title

Your full name: (Please write it as you would want it to appear on an award) (Required.)

Question Title

Your current job title or role: (Required.)

Question Title

Name of your current service or classroom and school: (Required.)

Question Title

Age groups of children in your current room or classroom: (Required.)

Question Title

Please list your early childhood teaching qualification(s) and year obtained: (Required.)

Question Title

Total number of years working in the early childhood sector: (Required.)

Question Title

Provide your best contact details (so we can contact you about your nomination or award if needed) (Required.)

Address *

Address 2

City/Town *

State/Territory *

Postcode *

Email address *

Phone Number *

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Question Title

* Your full name: (Please write it as you would want it to appear on an award) (Required.)

Question Title

* Your current job title or role: (Required.)

Question Title

* Name of your current service or classroom and school: (Required.)

Question Title

* Age groups of children in your current room or classroom: (Required.)

Question Title

* Please list your early childhood teaching qualification(s) and year obtained: (Required.)

Question Title

* Total number of years working in the early childhood sector: (Required.)

Question Title

* Provide your best contact details (so we can contact you about your nomination or award if needed) (Required.)

Your full name: (Please write it as you would want it to appear on an award) (Required.)

Your current job title or role: (Required.)

Name of your current service or classroom and school: (Required.)

Age groups of children in your current room or classroom: (Required.)

Please list your early childhood teaching qualification(s) and year obtained: (Required.)

Total number of years working in the early childhood sector: (Required.)

Provide your best contact details (so we can contact you about your nomination or award if needed) (Required.)