The University of Queensland

Engineering, Design and Computing Ambassador Nomination Form

This form should be completed by the nominating teacher and is for Year 11 students commencing in 2024.

All fields need to be completed and documents uploaded in order for your nomination to be considered.

You may nominate up to four students, and you will be notified via email on the outcome of your nomination/s.

Nominations close 1 March 2024.

The program will officially commence in Term 2 Monday 15 April 2024.

Teacher details

School name*

First Name*

Last Name*

Position*

Email*

Phone*

School Postal Address*

Student Nominations

****Please complete the details below for your student nominations, ensuring that you attach a consent form for each student you have nominated.***

Student 1 Nomination

Student 1: First Name

Student 1: Last Name

Student 1: Email

Student 1: Discipline of interest

Engineering

Architecture and Design

Computing

Student 1: Consent Form Upload

(Maximum size: 500 KB )

Student 2 Nomination

Student 2: First Name

Student 2: Last Name

Student 2: Email

Student 2: Discipline of interest

Engineering

Architecture and Design

Computing

Student 2: Consent Form Upload

(Maximum size: 500 KB )

Student 3 Nomination

Student 3: First Name

Student 3: Last Name

Student 3: Email

Student 3: Discipline of interest

Engineering

Architecture and Design

Computing

Student 3: Consent Form Upload

(Maximum size: 500 KB )

Student 4 Nomination

Student 4: First Name

Student 4: Last Name

Student 4: Email

Student 4: Discipline of interest

Engineering

Architecture and Design

Computing

Student 4:Consent Form Upload

(Maximum size: 500 KB )

Student 5 Nomination

Student 5: First Name

Student 5: Last Name

Student 5: Email

Student 5: Discipline of interest

Engineering

Architecture and Design

Computing

Student 5: Consent Form Upload

(Maximum size: 500 KB )

Student 6 Nomination

Student 6: First Name

Student 6: Last Name

Student 6: Email

Student 6: Discipline of interest

Engineering

Architecture and Design

Computing

Student 6:Consent Form Upload

(Maximum size: 500 KB )

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