Scientists in Schools

Registration (teacher)

Use this form to register as a teacher.

Please provide as much information as possible about the type of partnership you'd like. This will help us to find you an appropriate match.

For more details about Scientists in Schools, read the information for teachers.

* = Mandatory field

Title          
* First name
* Surname
Gender M    F
Position
Department/Campus
* School
* School postal address
 
* Town/suburb
* State   * Postcode
* Phone (Wk.)         Mobile
Fax
* Email
* With which area(s) and year level(s) would you like a scientist to help?
Read information about the subject levels
  Year level(s) of interest
Subject area(s)
of interest		 Lower
Primary		 Middle
Primary		 Upper
Primary		 Junior
Secondary		 Senior
Secondary
Earth & Space
Living Things
Energy & Force
Matter
Mathematics
Engineering & Technology
Working Scientifically
Please tell us about your preferred scientist or style of partnership
Would you be happy to work in a partnership with no face-to-face contact (for example via teleconference or email)? Yes    No
Please describe any scientist-partnership projects you are currently involved with (including the scientist's name if possible).
Where did you hear about Scientists in Schools?
My principal supports my involvement in this project Yes    No    Not applicable
Principal's first name
Principal's last name
Principal's email
  I have read and accepted the terms & conditions in the legal notice New Window.