Clarence Science Initiative 2020
Application Form - The $10 application fee needs to be paid to the office at South Grafton High School by 3pm 13th September
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Student surname *
First name *
School enrolled at *
Current school year *
Class teacher *
Parent/carer's name *
Mailing street address *
Mailing suburb *
Mailing postcode *
Mailing state *
Home phone *
Mobile phone *
Email address
ATSI student
Does your child have any medical conditions? *
If 'Yes' please give details
Medicare Card Number *
Date of Birth *
MM
/
DD
/
YYYY
*
Mostly
Sometimes
Rarely
Recalls fact easily
Expresses him/herself fluently
Asks probing questions
Finds unusual uses for things
Lead/initiates activities
Is curious
Sees projects through to completion
Thinks logically
Mixes well with adults
Independent learner
Expresses interest about world issues
Cooperates with other children
Applies maths knowledge in a variety of situations
Uses computers competently for learning and research
Grasps principles and makes generalisations
Explain how you believe this program will benefit your child. *
How will you be able to support your child in this program? *
Submit
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