MS Word form template



Complete and include this form in your entry submission. Please complete carefully as details from this form will be used for awards and prizes. Include this form when submitting your entry.School detailsSchool FORMTEXT ?????School address FORMTEXT ?????Suburb FORMTEXT ?????Postcode FORMTEXT ?????Postal address FORMTEXT ????? FORMTEXT ?????Staff member detailsName FORMTEXT ?????Salutation FORMCHECKBOX Mr FORMCHECKBOX Mrs FORMCHECKBOX Ms FORMCHECKBOX Miss FORMCHECKBOX Dr FORMCHECKBOX Other: FORMTEXT ?????Email FORMTEXT ?????Telephone FORMTEXT ?????Class / Group detailsClass / Group name FORMTEXT ?????Year level of participants FORMTEXT ?????Number of participants FORMTEXT ?????Participant names Write each participants name on a separate lineFirst nameLast nameFirst nameLast name1. FORMTEXT ????? FORMTEXT ?????2. FORMTEXT ????? FORMTEXT ?????3. FORMTEXT ????? FORMTEXT ?????4. FORMTEXT ????? FORMTEXT ?????5. FORMTEXT ????? FORMTEXT ?????6. FORMTEXT ????? FORMTEXT ?????7. FORMTEXT ????? FORMTEXT ?????8. FORMTEXT ????? FORMTEXT ?????9. FORMTEXT ????? FORMTEXT ?????10. FORMTEXT ????? FORMTEXT ?????11. FORMTEXT ????? FORMTEXT ?????12. FORMTEXT ????? FORMTEXT ?????13. FORMTEXT ????? FORMTEXT ?????14. FORMTEXT ????? FORMTEXT ?????15. FORMTEXT ????? FORMTEXT ?????16. FORMTEXT ????? FORMTEXT ?????17. FORMTEXT ????? FORMTEXT ?????18. FORMTEXT ????? FORMTEXT ?????19. FORMTEXT ????? FORMTEXT ?????20. FORMTEXT ????? FORMTEXT ?????21. FORMTEXT ????? FORMTEXT ?????22. FORMTEXT ????? FORMTEXT ?????23. FORMTEXT ????? FORMTEXT ?????24. FORMTEXT ????? FORMTEXT ?????25. FORMTEXT ????? FORMTEXT ?????26. FORMTEXT ????? FORMTEXT ?????27. FORMTEXT ????? FORMTEXT ?????28. FORMTEXT ????? FORMTEXT ?????29. FORMTEXT ????? FORMTEXT ?????30. FORMTEXT ????? FORMTEXT ?????31. FORMTEXT ????? FORMTEXT ?????32. FORMTEXT ????? FORMTEXT ?????Entry submissionMethod of entry submission FORMCHECKBOX Email FORMCHECKBOX Post AttachmentsOutline the number of attachments with your submission and a brief description of each attachment FORMCHECKBOX Item 1 FORMTEXT ????? FORMCHECKBOX Item 2 FORMTEXT ????? FORMCHECKBOX Item 3 FORMTEXT ?????Entry checklistMark off each component of the entry checklist to ensure your submission meets the necessary criteria. FORMCHECKBOX Online registrations FORMCHECKBOX Investigate: fire ants entry surveys FORMCHECKBOX Deed of release forms for photographic and moving images completed for each supervisor and participant (if applicable to your entry) FORMCHECKBOX Communication product FORMCHECKBOX Each item is clearly labelled with school and class/group name FORMCHECKBOX Investigate: fire ants exit surveySubmitting your entryMail toSchools Program – Investigate EntriesNSW Department of Primary Industries161 Kite StOrange NSW 2800Email to schools.program@dpi..au ................
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