REQUEST INFORMATION Please let us know who you are. Based on the information you provide we will tailor our workshops to your group. Request Type On-Campus (you come to us) Off-Campus (we visit you) UNSW Campus (on-campus only) UNSW Kensington UNSW Paddington Please select which UNSW Campus you are interested in visiting. You may choose both campuses to visit if you wish. Request By School Tafe Community Organisation Youth Group Other If Other Please Specify Schools Only Department of Education School Independent School Catholic School Please indicate your school sector. Name eg. school, organisation, group name etc. Address Address Address 2 City/Town State Postcode Visit details When are you requesting for Nura Gili to visit you please keep in mind in some circumstances we may not be able to visit on the requested day. If this is the case, we will work with you to find an alternative date that suits everyone. Date of visit Date of visit: Date Date of visit: Time Length of Visit 45 minutes 60 minutes 90 minutes 120 minutes Age Group Age Group Year 7 Year 8 Year 9 Year 10 Year 11 Year 12 If Other Please Specify: Enter other… Group Size Visit Details Please supply as many details about your visit as possible including any faculty interests, specific program information, visit outcomes etc Contact information Please provide contact details for main contact person. Name Title Title - None -MissMsMrMrsDrOther… Enter other… First Last Email Contact number Job title
