EKN Course Submission Form

University of Western Sydney

Locked Bag 1797
Penrith NSW 2751

Tel: +61 2 9852 5222

ABN 53 014 069 881
CRICOS Provider No: 00917k

Name:
Affiliation:
Postal Address:
Phone:
Mobile:
Fax:
Your Email:
Title of Course:
Description of content:
An account of any research or methodology that underpins the course:
Schedule for the day:
Outline of the assessment strategies, if used in the course:
Indicate hours for completion:
Target group:	Early Stage 1 Stage 1 Stage 2 Stage 3 Stage 4 Stage 5 Stage 6 All stages Parents Students Not applicable
Maximum number of participants:
Cost for presentation:
Special requirements for participation:
NSW IT Standards:
Course or program web page:
Handout/materials required by participants::
File upload (if required 20MB max)