vanshika, year 12, seams south oakleigh secondary …...vanshika, year 12, south oakleigh secondary...

FLAP

SEAMS authorisation formPlease detach and complete both sides of this form and return it to the SEAMS office no later than Friday 17 November 2017.

Scan and email to: [email protected]

Or mail to: SEAMS, Access Monash, Caulfield Campus, Reply Paid 89638, Caulfield East, VIC 3145

Student’s full name:

Student’s email address:

Student’s school:

Parent/guardian’s full name:

Parent/guardian’s signature:

Date: Monash University and the University of Melbourne reserve the right to alter information, procedures, fees and regulations contained in this document. Please check the Monash University website for updates (monash.edu). All information reflects prescriptions, policy and practice in force at time of publication. Published October 2017.CRICOS provider: Monash University 00008C / The University of Melbourne 00116K

I have read all of the information provided in this pack. I confirm that I understand and agree to providing personal information about myself and my child and that I agree to my child joining the SEAMS program and participating in the associated activities including but not limited to the camp programs.

AUTHORISATION OF ACCESS TO INFORMATION TECHNOLOGYI have read the Monash University Acceptable Use of Information Technology Facilities by Students policy at: http://www.policy.monash.edu/policy-bank/management/its/acceptable-use-of-information-technology-facilities-by-students-policy.html and agree to the conditions of use for the computer accounts being issued to the below named student. I accept responsibility for any charges associated with excessive internet access.

CONSENT FOR STILL AND MOVING IMAGESPlease tick the appropriate box:

I consent to Monash University, the University of Melbourne or any person acting on behalf of Monash University or the University of Melbourne to take photographs, film, or other pictorial and audio recordings of my child in any medium (Material) and to use, copy, reproduce, publish, communicate, enhance, modify, adapt, transmit or broadcast the Material (or any part of the Material) along with my child’s name or other personal reference in any form (including CD/DVD, website, publication, poster, presentation) anywhere in the world for advertising, marketing, informational or promotional purposes and/or reporting, knowledge transfer, academic teaching and/or research purposes (which may require certain third parties publicly distributing the Materials online on their own websites or other websites, and such third parties may be located outside of Victoria/overseas). I acknowledge that neither my child nor I are entitled to royalties or fees or other compensation for such and that the universities own copyright in the Material.

I DO NOT consent to Monash University, the University of Melbourne or any person acting on behalf of the universities to take photographs, film, or other pictorial and audio recordings of my child.

Do you want to meet other students like you, be inspired and discover the possibilities maths and science have to offer? Get involved in SEAMS!

HOW DOES IT WORK?As a SEAMS participant you will be invited to attend two SEAMS camps during the year, in January and July. The camps are held on campus at Monash University or the University of Melbourne.

You will stay for two nights at a university residential college with fellow students from across Victoria. You’ll participate in interactive workshops and academic sessions to prepare you for Maths Methods, Chemistry and Physics VCE subjects. You will also have the chance to take part in fun activities that will help you get to know your fellow SEAMS participants.

All meals and activities are provided, and there is no cost to participate.

SEAMS was developed by Monash University, the University of Melbourne, John Monash Science School, Elizabeth Blackburn Science School and independent experts.

SEAMS gives you the chance to:

• Get a head start on your maths and science VCE subjects

• Attend camps at Monash University and the University of Melbourne during your school holidays

• Connect with other students who share your interests, and make new friends

• Experience university life first-hand• Explore the options available for your future• Get ongoing support online and invitations to

special events throughout the year.

99%of 2017 participants would recommend

SEAMS to others

SEAMS Strengthening Engagement and Achievement in Mathematics and Science

January camp dates for 2018

Year 11: 15 – 17 January at Monash

Year 12: 15 – 17 January at Melbourne

SEAMS has been an amazing experience for me. Not only have I got a great head start in my studies but I have also met a lot of incredible people and mentors who have given me an insight into how I should be preparing for my exams, and what I should be looking forward to going to uni.

VANSHIKA, YEAR 12, SOUTH OAKLEIGH SECONDARY COLLEGE

‘‘

SEAMS participants received offers for a wide range of university courses.

PROGRAM OUTCOMES 94% of SEAMS Year 12 participants contactable received a first round university offer for 2017.

HOW DO I APPLY?Complete all details on this form and return to the SEAMS office as per the instructions overleaf. You must also fill out the online application form available at:

monash.edu/access/seams

CONTACT US Please feel free to contact us at any time for further information about the program.

[email protected]


96%of 2017 participants are looking forward to the next SEAMS

event

Monash University - 41University of Melbourne - 21RMIT Uni - 16Swinburne - 11Deakin - 7Latrobe - 5ACU - 2Fed Uni - 2Charles Sturt University - 2Victoria University - 1CQ University - 1


Science

Biomedical Science/ Health Sciencs

Other university courses

Engineering

Pharmacy/ Pharmaceutical Scinces

Commerce

Science

Biomedical Science/Health Sciences


Engineering

Pharmacy/Pharmaceutical Sciences

Commerce

SEAMS parent/guardian informationThank you for providing the following information, which will help us to design and administer the SEAMS program effectively.

Parent/guardian 1 Parent/guardian 2

Name: Name:

Contact phone number: Contact phone number:

Email address: Email address:

Education Please indicate your highest level of education:□ Postgraduate degree□ Bachelor degree□ Associate degree□ Diploma/advanced diploma□ Certificate IV


Occupation Please select your current occupation from the following list:

Education□ University lecturer□ Teacher – secondary□ Teacher – primary□ Early childhood worker

Health□ Doctor□ Nurse□ Paramedic□ Health administrator□ Pharmacist□ Pharmacy assistant□ Aged care worker

Law□ Lawyer□ Judge□ Law Clerk

Finance□ Bank manager□ Bank teller□ Accountant

Technical & Scientific□ Lab worker□ Engineer□ IT professional

□ Other (please specify):

□ Not currently in paid employment

If you are not currently in paid work but have had a job in the last 12 months, or have retired in the last 12 months, please select your last occupation from the above list.










□ Certificate I – III□ Year 12□ Year 11□ Year 10 or below

Trades□ Mechanic□ Carpenter□ Plumber□ Cabinet maker□ Builder□ Electrician

Administration & Professional□ Executive assistant□ Office manager□ Secretary/receptionist□ Manager□ Customer service/call centre□ Other professional office position e.g. Marketing, Sales

Retail□ Shop manager□ Retail assistant

Hospitality□ Hospitality worker□ Hospitality manager

PRIVACY AND YOUR INFORMATIONWhen a student applies to participate in the SEAMS program, Monash University and the University of Melbourne collect information about them and their parents/guardians. To view the privacy statement, which includes information about how this data is collected and used, visit:

privacy.monash.edu.au/guidelines/collection- personal-information.html#ammp

For the purposes of the SEAMS program, where context allows, references in the privacy statement to Monash University should be read as referring to both Monash University and the University of Melbourne. In relation to University of Melbourne, references to ‘[email protected]’ should be read as ‘[email protected]’.

STILL AND MOVING IMAGESMonash University and University of Melbourne staff and members of the media may be present at SEAMS activities to take photographs and occasionally sound and video recordings of students and participants. These may feature students as part of a large or small group, or individually, if they are willing. If students do not wish to be photographed or recorded, this will be respected if they make their wishes known at the time.

Monash University and the University of Melbourne may use these images or recordings for promotional purposes such as on their websites, in press releases or in promotional material.

ACCESS TO INFORMATION TECHNOLOGYAs part of the program students will have access to Monash University IT, including computer accounts and the internet. All students must have permission from their parent/guardian to access University IT.

Internet access is provided for academic and administrative purposes. The University provides no censorship for anything students may access. Students and their parents/guardians may be held accountable for excessive internet usage; however, if internet use is for academic and administrative purposes related to the SEAMS program, use is unlikely to be excessive.

Please read the Monash University Acceptable Use of Information Technology Facilities by Students policy which can be located at:

www.policy.monash.edu/policy-bank/management/its/acceptable-use-of-information-technology-facilities-by-students-policy.html

ACCOMMODATION AND MEALS Students will stay at a Monash or University of Melbourne residential college. They will be allocated a bedroom with a lockable door and their own keys, and have access to shared bathroom and toilet facilities. Breakfast, lunch and dinner are provided.

SAFETY AND MEDICAL INFORMATIONSupervision will be provided by the University of Melbourne and Monash University staff, as well as university student ambassadors. All staff and university ambassadors hold a current Working With Children Check.

SEAMS organisers will use the information you provide in the attached medical information form if a student is involved in a medical emergency. All information is held in confidence. This medical form must be current when the camp is run – please let us know if there are any changes.

Parents are responsible for all medical costs if a student is injured on a SEAMS excursion unless the participating university is found liable (liability is not automatic). Parents can purchase student accident insurance cover from a commercial insurer if they wish to.

Supervisors will stay overnight at the accommodation. External doors to the accommodation are locked and can only be accessed with the electronic tags allocated to students with their keys. The accommodation has staff on site 24 hours per day.

STUDENT BEHAVIOURTo participate in SEAMS students need to adhere to all behavioural guidelines imposed by the university in relation to SEAMS. All students must:

• Not consume or have in their possession any alcohol or drugs at any time during the program. If students consume or are found with alcohol or drugs, appropriate disciplinary measures will be taken including informing parents/guardians and police.

• Remain on university/accommodation grounds at all times unless supervised by a university staff member or student host involved in the program.

• Follow directions and instructions given to them by university staff members and program volunteers.

Student name:

School name:

Important administrative details






Student’s current medical information

Student’s full name: Date of birth:

School name: Year level in 2017:

Parent/guardian 1 full name: Parent/guardian 2 full name (if applicable):

Parent/guardian 1 contact numbers Business hours:After hours:


Name of person to contact in an emergency: Emergency contact numbers (if different to above)Business hours:After hours:

Student’s Medicare number: Are you an ambulance subscriber?□ Yes (please indicate member number):□ No

Medical/hospital insurance fund name and number: Year of last tetanus immunisation:

Tetanus immunisation is normally given at age five (as Triple Antigen or CDT) and 15 (as ADT)

Medical conditions and disabilitiesPlease indicate if your child experiences any of the following:□ Asthma □ Blackouts□ Diabetes□ Dizzy spells□ Fits of any type□ Heart condition□ Migraine

Allergies Please indicate if your child has any allergies:□ Penicillin□ Other drug (please specify):□ Foods (please specify):□ Other allergy (please specify):

What special care is required for these allergies?

Medication Please provide details of any medication your child is taking, including name of medication, dose and when and how it is to be taken:

Dietary requirements Please give details of any foods that your child cannot eat for medical or religious/cultural reasons:

Medical consent

Where the university staff are unable to contact me, or it is otherwise impracticable to contact me, I authorise University staff to:

• Consent to my child receiving any medical or surgical attention deemed necessary by a medical practitioner.• Administer such first-aid as the staff-in-charge judges to be reasonably necessary.



Date:

SEAMS student medical information SEAMS staff will use the information you provide below if your child is involved in a medical emergency. The information will not be considered during the application and selection process. All information is held in confidence. This form must be current when your child attends the camp – please let us know if there are any changes.

□ Sleepwalking□ Travel sickness□ Physical disability□ Other (please specify):

What special care is required?

FLAP






Student’s school:





















SEAMS to others







‘‘






[email protected]



event



Science



Engineering


Commerce

Science



Engineering


Commerce

SEAMS parent/guardian informationThank you for providing the following information, which will help us to design and administer the SEAMS program effectively.

Parent/guardian 1 Parent/guardian 2

Name: Name:

Contact phone number: Contact phone number:

Email address: Email address:


























PRIVACY AND YOUR INFORMATIONWhen a student applies to participate in the SEAMS program, Monash University and the University of Melbourne collect information about them and their parents/guardians. To view the privacy statement, which includes information about how this data is collected and used, visit:

privacy.monash.edu.au/guidelines/collection- personal-information.html#ammp

For the purposes of the SEAMS program, where context allows, references in the privacy statement to Monash University should be read as referring to both Monash University and the University of Melbourne. In relation to University of Melbourne, references to ‘[email protected]’ should be read as ‘[email protected]’.

STILL AND MOVING IMAGESMonash University and University of Melbourne staff and members of the media may be present at SEAMS activities to take photographs and occasionally sound and video recordings of students and participants. These may feature students as part of a large or small group, or individually, if they are willing. If students do not wish to be photographed or recorded, this will be respected if they make their wishes known at the time.

Monash University and the University of Melbourne may use these images or recordings for promotional purposes such as on their websites, in press releases or in promotional material.

ACCESS TO INFORMATION TECHNOLOGYAs part of the program students will have access to Monash University IT, including computer accounts and the internet. All students must have permission from their parent/guardian to access University IT.

Internet access is provided for academic and administrative purposes. The University provides no censorship for anything students may access. Students and their parents/guardians may be held accountable for excessive internet usage; however, if internet use is for academic and administrative purposes related to the SEAMS program, use is unlikely to be excessive.

Please read the Monash University Acceptable Use of Information Technology Facilities by Students policy which can be located at:

www.policy.monash.edu/policy-bank/management/its/acceptable-use-of-information-technology-facilities-by-students-policy.html

ACCOMMODATION AND MEALS Students will stay at a Monash or University of Melbourne residential college. They will be allocated a bedroom with a lockable door and their own keys, and have access to shared bathroom and toilet facilities. Breakfast, lunch and dinner are provided.

SAFETY AND MEDICAL INFORMATIONSupervision will be provided by the University of Melbourne and Monash University staff, as well as university student ambassadors. All staff and university ambassadors hold a current Working With Children Check.

SEAMS organisers will use the information you provide in the attached medical information form if a student is involved in a medical emergency. All information is held in confidence. This medical form must be current when the camp is run – please let us know if there are any changes.

Parents are responsible for all medical costs if a student is injured on a SEAMS excursion unless the participating university is found liable (liability is not automatic). Parents can purchase student accident insurance cover from a commercial insurer if they wish to.

Supervisors will stay overnight at the accommodation. External doors to the accommodation are locked and can only be accessed with the electronic tags allocated to students with their keys. The accommodation has staff on site 24 hours per day.

STUDENT BEHAVIOURTo participate in SEAMS students need to adhere to all behavioural guidelines imposed by the university in relation to SEAMS. All students must:

• Not consume or have in their possession any alcohol or drugs at any time during the program. If students consume or are found with alcohol or drugs, appropriate disciplinary measures will be taken including informing parents/guardians and police.

• Remain on university/accommodation grounds at all times unless supervised by a university staff member or student host involved in the program.

• Follow directions and instructions given to them by university staff members and program volunteers.

Student name:

School name:

Important administrative details






Student’s current medical information

Student’s full name: Date of birth:

School name: Year level in 2017:

Parent/guardian 1 full name: Parent/guardian 2 full name (if applicable):



Name of person to contact in an emergency: Emergency contact numbers (if different to above)Business hours:After hours:

Student’s Medicare number: Are you an ambulance subscriber?□ Yes (please indicate member number):□ No

Medical/hospital insurance fund name and number: Year of last tetanus immunisation:

Tetanus immunisation is normally given at age five (as Triple Antigen or CDT) and 15 (as ADT)

Medical conditions and disabilitiesPlease indicate if your child experiences any of the following:□ Asthma □ Blackouts□ Diabetes□ Dizzy spells□ Fits of any type□ Heart condition□ Migraine

Allergies Please indicate if your child has any allergies:□ Penicillin□ Other drug (please specify):□ Foods (please specify):□ Other allergy (please specify):

What special care is required for these allergies?

Medication Please provide details of any medication your child is taking, including name of medication, dose and when and how it is to be taken:

Dietary requirements Please give details of any foods that your child cannot eat for medical or religious/cultural reasons:

Medical consent

Where the university staff are unable to contact me, or it is otherwise impracticable to contact me, I authorise University staff to:

• Consent to my child receiving any medical or surgical attention deemed necessary by a medical practitioner.• Administer such first-aid as the staff-in-charge judges to be reasonably necessary.



Date:

SEAMS student medical information SEAMS staff will use the information you provide below if your child is involved in a medical emergency. The information will not be considered during the application and selection process. All information is held in confidence. This form must be current when your child attends the camp – please let us know if there are any changes.

□ Sleepwalking□ Travel sickness□ Physical disability□ Other (please specify):

What special care is required?

FLAP






Student’s school:





















SEAMS to others







‘‘






[email protected]



event



Science



Engineering


Commerce

Science



Engineering


Commerce

P1P2P3P4P5P6

vanshika, year 12, seams south oakleigh secondary …...vanshika, year 12, south oakleigh secondary...

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