Contact Us | Site Map


Home | About W.TEC | Programmes | ICT & Gender | News & Events | Get Involved


Programmes

W.TEC Girls Technology Camp Nomination Form


Thank you for your interest in the W.TEC Girls' Technology Camp. Please fill out all the fields of this form and click "Submit" after you are finished.


Your Information:

  • Your Name:

  • Your Organisation/Affiliation:

  • Contact Address:

  • Phone Number:

  • Email Address:


Nomination 1:

  • First Name:

  • Last Name:

  • Class:

  • Age:

  • School:

  • Contact Address:

  • Phone Number:

  • Email Address:

  • Relationship with you:


Nomination 2:

  • First Name:

  • Last Name:

  • Class:

  • Age:

  • School:

  • Contact Address:

  • Phone Number:

  • Email Address:

  • Relationship with you:


Other:

How did you hear about this program?

©2008 - 2010 W.TEC Online | All Rights Reserved. No Part of this Site may be reproduced in Print or Electronic without Prior Permission from W.TEC