James Cook University

Thank you for your nomination. If you have any questions please contact your JCU Relationship Manager or email futurestudents@jcu.edu.au

School Information

School*

Representative First Name

Representative Last Name

Representative Email*

Representative Position

Representative Phone Number

Postcode

School Postal Address*

Award certificates and gift cards will be posted prior to your school’s award ceremony.

Would you like JCU to attend your school’s end-of-year presentation ceremony?*

Yes

Presentation Ceremony Venue

Presentation Ceremony Date

Presentation Ceremony Time

JCU Rising Star Scholarship

Please ensure spelling of names is accurate to avoid print errors.

To be eligible for the Rising Star, the student must select a JCU eligible course which is all undergraduate bachelor and joint degrees offered on campus by JCU excluding the Bachelor of Medicine, Bachelor of Surgery (MBBS), and Bachelor of Dental Surgery.

Refer to eligibility criteria for more info at: https://future.jcu.edu.au/JCUSchoolAwardsProgram

First Name (Scholarship recipient)

Last Name (Scholarship recipient)

Email address (Scholarship recipient)

The JCU Shield for Year 12

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First Name (Year 12 recipient)

Last Name (Year 12 recipient)

The JCU Shield for Year 11

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First Name (Year 11 recipient)

Last Name (Year 11 recipient)

The JCU Shield for Year 10

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First Name (Year 10 recipient)

Last Name (Year 10 recipient)

The JCU Shield for Year 9

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First Name (Year 9 recipient)

Last Name (Year 9 recipient)

The JCU Shield for Year 8

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First Name (Year 8 recipient)

Last Name (Year 8 recipient)

The JCU Shield for Year 7

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First Name (Year 7 recipient)

Last Name (Year 7 recipient)

I confirm I have been authorised by the Principal / Head of School*

I declare that the information provided in this form is correct*

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JCU School Awards Program

Recipient submission form

Thank you for your nomination. If you have any questions please contact your JCU Relationship Manager or email futurestudents@jcu.edu.au

School Information

JCU Rising Star Scholarship

The JCU Shield for Year 12

The JCU Shield for Year 11

The JCU Shield for Year 10

The JCU Shield for Year 9

The JCU Shield for Year 8

The JCU Shield for Year 7

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