Booking Application Form

Booking Application Form

<p> North Keppel Island Environmental Education Centre Application Form – 2014 For 2014, groups will be selected according to the following criteria: 1. Type/Size of Group, duration of camp and willingness to participate in pre-visit Orientation program 2. Intended learning outcomes – support for environmental education or education for sustainability 3. Support from Principal</p><p>Coordinator Name School/Organisation Postal Address: Phone Number: Fax: E-mail: Anticipated Number in Group: Transport & Accommodation limit: 45 Year Level of students</p><p>Are you willing to share with another group Yes No Numbers less than 20 will be expected to share</p><p>Preferred dates RESIDENTIAL 1 2 3</p><p>Most programs are Mon-Friday Monday, Tuesday & Wednesday Wednesday, Thursday & Friday Camps 2 nights or less, indicate preferred end of week</p><p>DAY VISITS: Tuesdays only 1 2 3</p><p>Major Focus – see website for curriculum 1</p><p>2</p><p>3</p><p>Major Focus Non School groups (only)</p><p>Orientation Program 2014 Attendance is required from all coordinators coming to NKIEEC in 2014. A two day orientation program is required for new camp coordinators. A one day Orientation program is required for 2014 camp coordinators. A certificate is provided and counts towards Professional Development hours 2 days program: $140.00, 1 day program: $80.00 I am a new camp coordinator & will attend I visited NKIEEC in 2013/frequent visitor & will attend on 15 & 16 February 2014 (weekend) Sunday 16 February 2014</p><p>Have you visited www.nkieec.eq.edu.au to gain information about new costs, curriculum, activities and YES NO vessel operations etc? Please provide any information that may further support this application eg – Earth Smart Science school, Whole School Environmental Education Programs, Energy Efficiency interests, Extended residential interests, or connections to developing capabilities/values to be an active and responsible citizen. etc</p><p>Principal’s support received YES NO</p><p>Please advise your BSM/AO on success of application a deposit is payable by 28 November, 2013 (see page below)</p><p>RETURN THIS FORM TO The Principal North Keppel Island Environmental Education Centre P.O. Box 1421, YEPPOON Q 4703, or Fax to: (07) 4939 2522 or email [email protected] BY NO LATER THAN 28 October 2013 (Round One) North Keppel Island Environmental Education Centre Booking and Planning Timelines ______</p><p>By Monday 14 October, 2013 Application Forms advertised through  Web page  Memo to Principals  all groups on the waiting list  2012 coordinators  all requests for same</p><p>Round One closes By Monday 28 October, 2013 All applicants advised of receipt of application</p><p>Applicants advised on booking details or if unsuccessful round one By Monday 11 November, 2013 Program Planning forms are forwarded to successful applicants Invoice for camp deposit forwarded to schools</p><p>By Thursday 28 November, 2013 To secure booking for 2013 - Remit camp deposit - Return completed Program Planning forms to NKIEEC </p><p>______Early 2014</p><p> Programs developed by NKIEEC in consultation with schools prior to Orientation Program.  Round 2 Applications received and processed  Orientation programs held</p><p>______</p><p>Consider the following activities: Alternative Energy Studies - Campfire - Beach Games - Boat Snorkel - Circumnavigation - Concert Considine to Bald Hill Walk - Goal Setting - Grounds Care - Group Initiatives - Inter-tidal Walk - Island Hike - Kanomi Video - Kite Making/Flying - Litter Study - Log Roll - Maizie Bay/Midden/Beach walk - Mangrove Study - Microscopes - Night Walk to Maizie Bay - Orienteering - Outrigging - Plankton Trawl - Plant-Out - Possum Debate - Reef Walk - Ropes Course - Sandcastles - Snorkel - Transect Study - Spotlight Walk - Swimming </p><p>Thank you for considering North Keppel Island Environmental Education Centre as a location to support your educational needs</p>

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