STELR :: Application Form

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1. School Information

School Name:

Street Address:

Suburb:

Postcode:

Title:

First Name:

Last Name:

Position of contact person:

Phone Number:

Email:

Year level proposed to study STELR:

Number of classes:

Number of students (approx.):

Is your school involved in any of the following schemes?:

Reason for wanting to join the STELR Project in 2012

I accept that, should my school by accepted, two teachers will be required to attend the teacher training program held in March 2012.