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2023 Bionics Institute Girls in STEM Mentor Form

1. Name
4. Organisation Address
(The Meet your Mentor event is to be held at the Bionics Institute, unless your organisation would like to host this for your students. Please advise in the next question)
(If you place of work can host this event, please insert the name of person responsible and their email address)
Please note, you cannot participate in this program without agreement to this statement.
(The Girls in STEM Certificate Presentation event is to be held at the Bionics Institute, unless your organisation would like to host this for your students. Please advise in the next question)
(If you place of work can host this event, please insert the name of person responsible and their email address)
Max. file size: 32 MB.
You will require a volunteers Work with children’s check. We will accept proof of WWCC submission or a photo of the card.

If you do not have a current WWCC, apply here: Work with Children’s Check

Privacy

All information in relation to this program will be handled in accordance with the Bionics Institute Privacy Statement.
14. I agree to the terms and conditions of the program(Required)

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