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Girl Power in STEM 2017 Application Form
The University of Melbourne Girl Power in STEM Camp runs from 2 to 5 July 2017.

All applications must be submitted online via this form. You must currently be in Year 9.

Registration will open from 9:00am 18 April until 5:00pm 8 May 2017.

Shortlisted candidates will be notified between 9-12 May 2017 and will be required to undergo a short phone interview during 15 - 25 May 2017. Shortlisted candidates will need to supply a letter of support from their School Principal supporting their application. There are only 30 places available for the 2017 program.

Students and their Schools will be informed of successful candidates from 6 June, 2017.

To receive confirmation of your application, please check "Send me a copy of my responses" below.

Email address *
Given name *
Your answer
Family name *
Your answer
Gender *
Date of birth *
Verify your email address *
Your answer
Mobile phone number *
Your answer
Please confirm your Australian residency status
Are you an Aboriginal and/or Torres Strait Islander?
Please confirm that you are currently in Year 9 in a Victorian School/Institution *
School or Institution name *
Your answer
School or Institution representative name (who we need to contact if you are successful) *
Your answer
School or Institution representative email address *
Your answer
Interest questions
Please limit your responses to no longer than 3-4 sentences.
What excites you about Science, Technology, Engineering & Maths (STEM)? *
Your answer
Tell me about a time when you applied Science, Technology, Engineering or Maths in a group activity or project. *
Your answer
How will being part of the Girl Power in STEM program help you achieve your goals? *
Your answer
Privacy statement
The information on this form is being collected by The University of Melbourne and SISTEM for further communication regarding various courses, programs, events and faculties in which you have expressed interest. Information collected will only be used by authorised staff for the purpose for which it was collected and will be protected against unauthorised access and use. You can access any personal information the University holds about you. Contact Privacy Officer to find out more. The University's Privacy Policy ( is available online at Privacy Policy (
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