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For First year undergraduates only

Date/Time/Venue *

Please book one session only as these are repeat sessions

First Name *

Last Name *

Email Address *

School/Department *

This is the school you are studying in at University, not the school you have just come from

College *

Mobile/Cell Number

We only need this if you wish to receive text reminders for your booking

Student ID Number *

Programme of Study *

Academic Session *

2015-16

Required

Workshop Duration (hours) *

Required

Programme Year *

Do you have any specific learning needs (eg dyslexia) we need to be aware of to enhance your access to the session *

Specifying this will enable us to look after your leaning needs and will be kept strictly confidential

If yes, please specify below

please check all that apply

Coloured paper for workbook

Large font workbook

Workbook emailed in advance

Presentation emailed in advance

Other:

Please indicate if you are happy for your contact details to be retained for feedback and internal university marketing purposes *

Please note that your anonymised details will be used for internal statistical reporting.

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