LIZARD ISLAND STUDY TOUR 2020 APPLICATION FORM - TEACHER Applicant details First name Click or tap here to enter text. Last name Click or tap here to enter text. Female ☐ Male ☐ Other ☐ Mobile number Click or tap here to enter text. Email Click or tap here to enter text. Home address Click or tap here to enter text. School details School name Click or tap here to enter text. Science subjects taught in 2020 Click or tap here to enter text. School contact name Click or tap here to enter text. Posit ion Click or tap here to enter text. Phone number Click or tap here to enter text. Email Click or tap here to enter text. Applicant Checklist (Please include the following information with your application form.) 1. Personal submission (tell us why you want to come on the trip, how it will benefit teaching practice and support student learning). Please indicate if you have: ☐ Submitted as a video via Vimeo Please include Vimeo link here: Click or tap here to enter text. ☐ Submitted as a video via the mail ☐ Submitted as a written piece 2. Letter of support from the school signed by your Head teacher and endorsed by the Principal or from the Principal.