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Online application form

 

​The Department of Education and Training through Moreton Bay Environmental Education Centre is collecting personal information in accordance with Education (General Provisions) Act 2006 in order to maintain program application records. The information will only be accessed by Department of Education and Training. The information will not be given to any other person or agency unless consent is provided.

  • School:
  • Telephone:
  • Coordinator's name:
  • Coordinator's mobile:
  • Coordinator’s email:
  • Student year level:
  • Number of classes
  • Total anticipated number of students:
  • Program:
       
  • First date preference:
    Select a date from the calendar.
  • Second date preference:
    Select a date from the calendar.
  • Third date preference:
    Select a date from the calendar.
  • Details of unacceptable dates/times:
  • Your school's curriculum and unit focus for the program:
  • Principal verification: