Global Utilities

Science Teachers' Assistance Program

Faculty of Science, Technology and Engineering

Booking Request

To place a request for a booking, please fill out the form below. Your request will be sent to the STAP coordinator who will confirm your booking with you.

Please note that this form is a request form only. By filling out this form, your booking is not confirmed until someone has contacted you, either by phone or by email to confirm the booking details.

An asterisk (*) denotes that a field is required.

Contact Details
* First Name :  
* Last Name :  
* Telephone :  
* Email Address :  
School Details
* School Name :
 
* Suburb/Town :
 
Program Information
 
* I am interested in :
(Select more than one activity by pressing Ctrl + left click) 		 
Preferred date/time:
e.g. 12/04/2007 - 10:00am
* Number of students :
  
* Year level(s):
e.g. Year 12, Year 11 & 12 		 
* Number of teachers :
 
Please indicate any other information that is relevant to this booking:
 
Content Approved by: Faculty Registrar
Page maintained by: Web Information Officer
Last Updated: 10 April, 2008

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