Teacher Details
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School Details
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COLLECTION NOTICE:
The Australia Olympic Committee (AOC) collects your personal information in order to facilitate your school’s registration for the Olympic Change-Maker program (Program) and to communicate with you about other AOC community programs and education resources. Without this information, your school would not be able to participate in the Program. The AOC collects, uses, discloses, stores and protects your personal information in accordance with our
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Student 1 Details
Tell us more about a student you believe demonstrates the Olympic Spirit in their actions!
Student First Name
Student Last Name
Student Email
Year
Please select...
10
11
12
Student Date of Birth (dd/mm/yyyy)
In 100 words or less, please advise why you are nominating this student for the Australian Olympic Change-Maker Award i.e. describe how they are demonstrating leadership and/ or creating change.
Parent/Guardian Details
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email
Parent/Guardian Mobile
You may nominate up to two students for the 2024 Australian Olympic Change-Maker Award, would you like to nominate a second student?
Yes
No
Student 2 Details
Tell us more about another student you believe demonstrates the Olympic Spirit in their actions!
Student First Name
Student Last Name
Student Email
Grade
Please select...
10
11
12
Student Date of Birth (dd/mm/yyyy)
In 100 words or less, please advise why you are nominating this student for the Australian Olympic Change-Maker Award i.e. describe how they are demonstrating leadership and/ or creating change.
Parent/Guardian Details
Parent/Guardian First Name
Parent/Guardian Last Name
Parent/Guardian Email
Parent/Guardian Mobile
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