Innovation in Action SHP

Signup Form

Innovation in Action | School Holiday Program
Please note registrations for the July school holiday program are closed. This form has been updated to accept registrations for the October school holiday program.
Friday 3rd October 2025

This form is to register yourself for the Innovation in Action school holiday program! This 1-day program invites high ability Government school students in year 10 to 12 to visit the Swinburne University of Technology Hawthorn Campus and engage in a series of interactive workshops designed to challenge and enrich their education experience outside of school.
Date*

Thursday 17th April 2025Friday 11th July 2025Friday 3rd October 2025
Your Details

If you cannot find your school in the list below, please select "Other".
First Name*
Please provide your first name e.g. Alice.
Last Name*
Please provide your last name e.g. Smith.
Email*
Please provide your school email e.g. alice.smith@education.vic.gov.au.
Year Level*
Gender*

MaleFemaleNon-binaryPrefer not to say
School (choose "OTHER" if your school is not listed)*
Availability for Non-Government Schools

This program is funded by the Department of Education for students from Government schools. If you are a student at a Non-Government school, your name will be added to a wait list and you will be contacted at least 2 weeks prior to the date you have chosen if we have additional space available.
School (other)*
Please provide the full name of the school e.g. Melbourne Secondary College.

Emergency Contact Details

Your emergency contact must be a parent, legal guardian or primary caregiver who can be contacted in the event of an emergency, or regarding any concerns with your registration.
First Name*
Please provide your first name e.g. Alice.
Last Name*
Please provide your last name e.g. Smith.
Phone Number*
Please provide an Australian mobile phone number. Do not include a leading 0, and ensure you enter 9 unique digits after +61.
Email*
Please provide your best contact email e.g. alice.smith@example.com.
Relationship*
Please provide your relationship to the student.
Other Details

Please provide any relevant accessibility, dietary or emergency medical information below.
Dietary Requirements

CoeliacGluten-freeHalalKosherPeanut allergyPescatarianVeganVegetarianOther
Accessibility Needs
Emergency Medical Information

Acknowledgement and Consent Form

Before you can register for the program, you must download and print the Acknowledgement and Consent form below and give it to your parent or other legal guardian to complete and sign, then return here to upload the form (either as a clear photo or scanned PDF).
Please note the Event Handbook below is for the July school holiday program. While much of the information will still be accurate, this will be updated for the October school holiday program as soon as possible.
Download Event Handbook

Download Consent Form
Upload your completed Acknowledgement and Consent form, and any additional medical information (e.g. asthma plan, anaphylaxis plan, non-food allergies):*

Download the form using the button above, then ask your parent or other legal guardian to complete it.
Cancelof
Questions
Are you registering by yourself, or with friends?*

I'm registering by myselfI'm registering with friends
Please provide the full names of the friends you would like to be grouped with. NOTE: your friends must also complete this registration form separately!
Please ensure your friends have also completed this form separately. We will do our best to group you together.
Would you like to join a guided campus tour during lunch from 12:45pm-1:15pm? You will still have an opportunity to eat lunch and rest before the tour begins.

Yes, I would like to attend
If you have any questions about the program, please share them below and we will get back to you as soon as possible via email.
You can also contact us at any time by emailing schoolprograms@swinburne.edu.au.
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Signup Form

Friday 3rd October 2025

Your Details

Availability for Non-Government Schools

Emergency Contact Details

Other Details

Acknowledgement and Consent Form

Questions