Application form

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The Department of Education through Stanley River Environmental Education Centre is collecting personal information in accordance with Education (General Provisions) Act 2006 in order to register your interest in programs and activities. The information will only be accessed by Department of Education. The information will not be given to any other person or agency unless consent is provided.

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School *

Co-ordinator's name *

Telephone *

Coordinator's email *

Anticipated numbers - students *

Anticipated number of female adults

Anticipated number of male adults

Duration of program

If selecting Campus on Country (Whole School p-6), please disregard date preferences below. Our Staff will reach out to coordinate dates directly with your school.

First date preference - start date

First date preference - finish date

Second date preference - start date

Second date preference - finish date

Third date preference - start date

Third date preference - finish date

Details of unacceptable times/dates

Student year/grade level *

Program - Select 1 of 11 *

SREEC Programs are designed to deliver specific parts of the Australian Curriculum. The best student learning happens when SREEC teachers work with visiting teachers to fine tune programs so that they complement your school’s curriculum.

Learning intentions for the program *

Principal’s verification

I hereby apply to SREEC for a booking for this school according to the information contained in the above form. I accept the Centre’s booking conditions as outlined on the website.

Principal’s name

Principal's email

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