Bronze Award Approval - DOC by avr16366

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									Bronze Award Approval

                                                                                                                                                                    QDOE 10 Version 7 – 12/2008


AREA AWARD COMMITTEE:
NAME: (in full)
ADDRESS:                                                                                                                                 POSTCODE:
LICENSED OPERATOR:
DATE OF BIRTH:                                                               DATE OF ENTRY:                                              PARTICIPANT NO.


SERVICE                                                                      Dates Pursued                             Months                Hours                  Date Assessed
Form of Service
Activity

ADVENTUROUS JOURNEY (QUALIFYING/TEST)                                                                                  Dates Tested                                 Date Assessed

Type & Area

Purpose

SKILL                                                                        Dates Pursued                             Months                Hours                  Date Assessed

Activity

PHYSICAL RECREATION                                                          Dates Pursued                             Months                Hours                  Date Assessed

Activity



BRONZE APPROVAL DATE

                                                                        AREA AWARD COMMITTEE USE ONLY:

Approved by:                                                                                   Certificate / badge presented by:

Certificate / badge sent:                                                                      Letters sent to LO & Awardee:


                                                                           STATE AWARD OFFICE USE ONLY:

Confirmation sent to Awardee:                                                                  Certificate / badge sent:

Confirmation sent to LO:                                                                       Chairman’s letter sent:


COMMENTS:



YOUR PRIVACY

Award Volunteers and Award Operators use the information collected on this form to monitor your participation.
We also supply non-identifying statistical information to the National Award Authority of The Duke of Edinburgh's Award, a non-government organisation that oversees The Duke of Edinburgh's
Award in Australia.
We will not disclose your personal information to anyone else unless we have your consent or it is required by law. Your personal information is collected and managed in accordance with the
Information Standard No. 42 Information Privacy.
You can access your own personal information by contacting The Duke of Edinburgh’s Award, State Award Office, Queensland Division.

								
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