Space and Earth Research Expedition Expression of Interest

First Name *

Last Name *

Email Address *

Phone Number *

Year Level *

Name of Your School *

Preference on meeting/interview type *Once you submit this form, we will contact you to arrange for a meeting/interview to discuss further details. You will meet at least one of the travelling team leaders. We need to interview the student before offering a place on the trip, as well as receiving parent/guardian consent.

Preference on meeting/interview timeWhen are you not avaliable? When do you prefer to talk to us? E.g. Saturday afternoon, Sunday morning, Wednesday afterschool etc (We will do our best to match your preferred time. We may contact you to propose alternative meeting time due to staff and venue avalibility.)

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AttendeesWho will be attending the meeting/interview? (E.g. parents/guardians only, students with parents etc.)