LEADERS AWARD 2019 PUPIL ENTRY FORM LEADERS AWARD 2019 PUPIL ENTRY FORM Full Name: …………………………………………………… Full Name: …………………………………………………… Year Group: …………………………………………………. Year Group: …………………………………………………. Name of Invention: ………………………………………… Name of Invention: ………………………………………… School Name: School Name: ………………………………………………………………… ………………………………………………………………… School School Postcode: ………………………………………….. Postcode: ………………………………………….. Which Engineer inspired you? Which Engineer inspired you? ………………………………………………………………... ………………………………………………………………... Which company does the Engineer work for? Which company does the Engineer work for? ……………………………………………………………….. ……………………………………………………………….. Grade: Pass Merit Distinction Grade: Pass Merit Distinction Shortlisted: Yes No Shortlisted: Yes No Winner: Highly Display Winner Highly Display Commended: Commended:
LEADERS AWARD 2019 PUPIL ENTRY FORM Full Name: …………………………………………………… Year Group: …………………………………………………. Name of Invention: ………………………………………… School Name: ………………………………………………………………… School Postcode: ………………………………………….. Which Engineer inspired you? ………………………………………………………………... Which company does the Engineer work for? ……………………………………………………………….. Grade: Pass Merit Distinction Shortlisted: Yes No Winner Highly Commended: Display LEADERS AWARD 2019 PUPIL ENTRY FORM Full Name: …………………………………………………… Year Group: …………………………………………………. Name of Invention: ………………………………………… School Name: ………………………………………………………………… School Postcode: ………………………………………….. Which Engineer inspired you? ………………………………………………………………... Which company does the Engineer work for? ……………………………………………………………….. Grade: Pass Merit Distinction Shortlisted: Yes No Winner: Highly Commended: Display
2019-SEPESELA-Pupil-Entry-Form.docx