Superstars of STEM – Application form

Thank you for applying to take part in Superstars of STEM. Please fill in the form below and get in touch with us if you have any questions. We can be reached via email or on (02) 6257 2891.
Applications close at 5pm on Tuesday 23 May 2017.

Contact details

Professional details

This information is collected to ensure diversity in our participants.

I give permission for my biography to be published publically (click to confirm)
Please confirm the following:

I am an Australian Citizen or Permanent Resident (click to confirm)*

I have the consent of my employer to participate in the Superstars of STEM program and we both understand the time commitment involved. I agree to provide written evidence of this if shortlisted (click to confirm)*

Selection Criteria

Please address the following questions in response to the selection criteria in a maximum of 1250 characters (or approx 200 words).

Would you like to recieve updates from Science & Technology Australia?

Please type your full name here in place of a signature.*