Bursary Entry Form

Thank you for your interest in the health of our local waterways in the Fitzroy Basin. We welcome you to the MyWater community!

We encourage you to apply for the 2018 Care for Creeks Bursary.

Your Details

School or Group Name

Student Type

Applicant Name

Applicant Email

Applicant Phone Number

Name of Creek or River

Please include a short statement including the name of the river/creek and why your school/group wants to be involved in the Care for Creeks project. (max. 200 words)

Primary sample location

Drag the GPS locator on the map to the location of your suggested sampling location. If you are unsure about the latitude and longitude of your specific town or river, we suggest you use http://www.distancesfrom.com/Latitude-Longitude.aspx to assist you.

N.B. Only sites within the Fitzroy Basin boundaries will be considered

Latitude

Longitude