NIBSS Qld 2022 - Expression of Interest

If you think you might be interested in attending NIBSS Qld, please submit your expression of interest. Once you have lodged this expression of interest, we will contact you to discuss completing the full application. If you have any questions, please feel free to contact us on nibssqld@qut.edu.au or call Bianca on (07) 3138 1288 if you have any questions.

Tell us a little bit about yourself.

First Name: *

Last Name: *

Address:

Address 1 *

Address 2

Suburb *

Town/City *

Postcode *

Email address: (if you don't have one please write N/A in the box) *

Mobile number: (if you don't have one please write N/A in the box) *

Name of your School *

What grade are you enrolled in 2022? *

Before completing the form, make sure you have a chat with a parent or your primary care giver about the camp. Remember to tell them that the program goes for one week in January, and it doesn’t cost anything for travel, accommodation, meals or to register for the program. You just need to bring along a little bit of spending money.

Parent/Guardian

First Name *

Last Name *

Mobile number/Best contact number *

Email address *

Relationship to student (i.e., your mum, dad, grandparent) *

Other information

Do you have any known medical conditions or allergies? *

Yes
No

Do you have any physical support or special needs? *

Yes
No

If you answered yes to either or both of the above questions, please provide some more detail here: