Sir Paul Callaghan Eureka! Awards 2019 - Entry Step One

This form, for registration in the Sir Paul Callaghan Eureka! Awards 2019, is the first stage of the two step entry process.

In the first step we collect your contact information and contact information for a referee. This registration form must be completed by 5pm on Sunday, June 30, 2019. (Step two will be sent out after step one closes and will be due one week after)

For step two you will submit the name of your presentation, a bibliography of your supporting references and referee contact information, along with selecting your scholarship.

If you have any questions please contact Jack at info@eureka.org.nz.

Personal Infromation
Name *
Name
Date of Birth *
Date of Birth
How did you hear about us? *
Do you accept the Eureka! event and competition rules? *