Noosa District State High School eNewsletter

Senior Summit Class - Application Form (Year 11 and 12)

Student's First Name *

Student's Last Name *

Student's Home Group *

Parent's First Name *

Parent's Last Name *

Parent's Email Address *

Residential Address *

City *

Postcode *

Phone *

Subject Achievements

Upload student's Year 10 Track Ed Profile *

Senior School Intended Subject Selections

Please note the criteria to be eligible for the Senior Summit Program is:

1. Selecting to study these subjects in Year 11 and 12:

English General or Literature
Maths General or Methods
Two or more of these subjects: General Sciences, Economics, Maths Specialist, Health, Languages (at school or externally)
5+ General subjects.

2. Attain a GPA in Semester 1 Year 10 of 3.7+.

Please list student's intended Senior Subjects (Please enter between each subject) *

Additional Academic Achievements

List the academic achievements (e.g awards, certificates, qualification attainment) that you have achieved both at school and externally in the last 18 months. *

Demonstration of Community Engagement

List extra-curricular achievements (e.g sporting or cultural awards) or activities (active participation in groups and community events) that you have achieved at school and/or externally in the last 18 months. *

Application Endorsement

Please ask a teacher of one of your current classes to endorse this application:

Teacher's Name *

The subject area taught by the teacher *

Teacher's email address for endorsement confirmation *

Student Response

1. Outline why you would like to study in the Senior Summit Program. (approx. 100 words) *

2. Describe what your career pathway looks like, and what you aspire to achieve post-school (approx. 100 words) *

Student Acknowledgement and Commitment

I understand the commitment I am making to engage in the Senior School Summit program for Years 11 and 12. I understand I must maintain satisfactory behaviour and effort across my schooling, and demonstrate the values of Noosa District State High School. *

Student's Signature here: *

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Write your signature above the line

APPLICATIONS CLOSE FRIDAY WEEK 9, TERM 3

Please submit your completed form.