_____ Year Level _______
Contact Person ________________________________________________
Telephone ____________________ School Fax ______________________
Name __________________ Principal's Signature _________________
Home Address _____________________________________________
Telephone _____________________ Fax
Email ____________________________ Mobile
Why do you wish to attend this Conference?
What can you contribute to the Conference?
Attach your ideas to your completed application form.
5 days residential (includes all meals) $550
A $100 non-refundable deposit MUST accompany this
application, which is due by 31 March, 2002.
Early Bird conference fee: $500, if paid in full by 31st March,
All fees must be paid in full by 31 May,
Only students selected by their school as school delegates are
eligible to apply.
No students can attend the conference as day visitors.
We will notify you if you have been accepted.
or Principal's representative:
make cheques payable to: Creating a Sustainable Future Conference
Dr. Caroline Smith
School of Education
Australian Catholic University
Locked Bag 4115 Fitzroy VIC 3065
Ph (03) 9953 328
Fax (03) 9953 3475