CEED Program Qld

* Denotes required fields.

*Mr Mrs Miss Ms

* First Name:

* Last Name:

* Phone: (eg. (07) 3273 2804

Mobile

* Email: (used as your Login Username, and to receive CEED project advert's)

* Password: (Min. 6 Characters)

* Confirm Password:

* University

* Degree: (in progress)

* Availability for CEED Project (1st Preference):

Availability for CEED Project (2nd Preference) - optional:

* Areas of Interest for CEED Project: (Please choose at least one):

	Information Technology		Civil Eng.
	Mathematics		Elect. Eng.
	Mech. Eng.		Science
	Infomechatronics		Master of Business (Marketing/Advertising/IMC/PR/Events)
	Master of Business (Human Resource Management)		Environ Eng.
	Master of Business - other		Master of Business (Finance/Accounting)

first name:	last name:
email address: