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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