BHP Billiton Science and Engineering Awards 2018 Student Entry Form PLEASE COMPLETE ALL SECTIONS OF THIS FORM FOR A VALID ENTRY Project Information Name of Project: Project title for certificate (max 80 characters inc spaces): Starting date of research: What category are you entering? Investigations Engineering Is this a joint entry? Yes No (Please submit a separate entry form for each of the other joint entrants) Name of your partner(s) in this entry: Have you previously entered a project on this or a similar topic into the BHP Billiton Science and Engineering Awards? Yes No (If yes, please attach a note stating clearly how the current entry differs significantly from the previous entry.) Name of other competitions project entered into (if applicable): Student/Parent Information (Please ensure this is completed, applicable certificates and cheques will be sent to this address) Surname: Given Name: Street Address: Suburb: State: Post Code: Home Telephone: Email: Male Female Other Date of Birth: Age: Student Mobile: Australian citizen Permanent Resident Other Specify: Name of Parent/Guardian: Parent/Guardian Email: Parent/Guardian Home Telephone: Parent/Guardian Mobile: School Information School Name: School Address: School Telephone: School Fax: Year Level: Is this a Primary or Secondary entry? School STA Competition Coordinator: Supervising Teacher/Project Supervisor to complete: I, declare that this project is the work of my student (s) Supervising Teacher’s Signature: Date: Declaration of Originality I, declare this project is all my/our own work and I/we have acknowledged in my/our report the assistance I/we have received from others. (BHP Billiton Science and Engineering Awards finalists will be required to provide complete details of any outside assistance on a pro- forma once they are selected – Projects with incomplete or inaccurate forms will not be eligible to be judged. The level of assistance will be a factor in judging and may influence up to 10% of the final score.) Signed: Date:

1998 BHP Science Student Awards Entry Form · Name of Project: Project title for certificate ... Declaration of Originality I, declare this project is all my/our own work and I/we

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Page 1: 1998 BHP Science Student Awards Entry Form · Name of Project: Project title for certificate ... Declaration of Originality I, declare this project is all my/our own work and I/we

BHP Billiton Science and Engineering Awards 2018 Student Entry Form

PLEASE COMPLETE ALL SECTIONS OF THIS FORM FOR A VALID ENTRY Project Information

Name of Project:

Project title for certificate (max 80 characters inc spaces):

Starting date of research:

What category are you entering? Investigations Engineering

Is this a joint entry? Yes No (Please submit a separate entry form for each of the other joint entrants)

Name of your partner(s) in this entry:

Have you previously entered a project on this or a similar topic into the BHP Billiton Science and Engineering Awards? Yes No

(If yes, please attach a note stating clearly how the current entry differs significantly from the previous entry.)

Name of other competitions project entered into (if applicable):

Student/Parent Information (Please ensure this is completed, applicable certificates and cheques will be sent to this address)

Surname: Given Name:

Street Address:

Suburb: State: Post Code:

Home Telephone: Email:

Male Female Other Date of Birth: Age: Student Mobile:

Australian citizen Permanent Resident Other Specify:

Name of Parent/Guardian: Parent/Guardian Email:

Parent/Guardian Home Telephone: Parent/Guardian Mobile:

School Information School Name:

School Address:

School Telephone: School Fax: Year Level:

Is this a Primary or Secondary entry?

School STA Competition Coordinator:

Supervising Teacher/Project Supervisor to complete: I, declare that

this project is the work of my student (s)

Supervising Teacher’s Signature: Date:

Declaration of Originality I, declare this project is all my/our own work and I/we have acknowledged in my/our

report the assistance I/we have received from others.

(BHP Billiton Science and Engineering Awards finalists will be required to provide complete details of any outside assistance on a pro-forma once they are selected – Projects with incomplete or inaccurate forms will not be eligible to be judged. The level of assistance will be a factor in judging and may influence up to 10% of the final score.)

Signed: Date: