School Information

Name of School

Principal Name

Principal Email

Student Nominee Information

Please nominate 4-7 students from Years 10-12, including a mix of student leaders and those who do not have formal leadership roles.

Student 1

Student 1 Full Name

Year Level

Student 1 Dietary Requirements

Student 1 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Student 2

Student 2 Full Name

Year Level

Student 2 Dietary Requirements

Student 2 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Student 3

Student 3 Full Name

Year Level

Student 3 Dietary Requirements

Student 3 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Student 4

Student 4 Full Name

Year Level

Student 4 Dietary Requirements

Student 4 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Student 5

Student 5 Full Name

Year Level

Student 5 Dietary Requirements

Student 5 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Student 6

Student 6 Full Name

Year Level

Student 6 Dietary Requirements

Student 6 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Student 7

Student 7 Full Name

Year Level

Student 7 Dietary Requirements

Student 7 Accessibility Requirements (e.g. mobility assistance, sign language interpreter)

Accompanying Staff Member

Staff Member Name

Staff Member Role Title

Staff Member Email

Dietary Requirements

Accessibility requirements: (e.g. mobility assistance, sign language interpreter)

Other Notes

Use this section to include any further information, including the names of students who cannot be included in the school's photography and/or filming of this event.