Login Home wirltu yarlu Engagement and Outreach Ingkarni Wardli Technologies Program Current: Ingkarni Wardli Technologies Program Expression of Interest Ingkarni Wardli Technologies Program Expression of Interest Application close Friday 23 September at 5pm. Student details Given name Last name Date of birth Date of birth: Date Contact number Email address Address / location State Postcode School Year level - Select -Year 9Year 10Year 11Year 12 Are you - Select -AboriginalTorres Strait IslanderAboriginal and Torres Strait Islander Language Group(s) you identify as (if known) Medical conditions Dietary requirements T-shirt size Parent / carer details Given name Last name Contact number Email address Relationship to you Dietary requirements My parent / carer will be attending - Select -YesNo Teacher details Mentoring teacher name Teacher's phone number Teacher's email address Student information Why do you want to attend the camp? 100 words minimum Why are you interested in pursuing STEM? 100 words minimum What subjects are you currently studying? Further comments/information to support your application Emergency contact Name Contact number Photo release By selecting 'Yes' below you grant permission to the University of Adelaide to use, reproduce and communicate (in hardcopy or electronic format) any photographs, audio and/or video recordings taken of you during the duration of the program, for the following purposes: - University publications and promotional activities (including but not limited to the University’s website and social media sites, promotional and marketing materials and student recruitment activities), the University’s administrative and teaching purposes. I acknowledge and agree that this may result in public disclosure of my image. Yes No CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.