Registration Form : Shadow A Scientist Summer 2019
If you have any queries or require help in filling the application, please email The deadline to submit your application is 10th June 2019. You will be notified on the outcome on the 17th June 2019.
Name of Student *
Please enter your first and last name
Your answer
Student's Email ID *
Your answer
Date of birth *
Your answer
Year of Study *
Your answer
School/ College Name *
Your answer
School/ College Address *
Please mention the postcode
Your answer
School/ College Telephone Number *
Your answer
School/ College Email
Your answer
Home Postcode *
Your answer
Ethnicity (please tick): *
Q1. Have any of your parents or carers studied at a university in the UK or abroad (please tick)? *
Q2. Are you or have you been in local authority care? *
Q3. Do you consider yourself to be disabled? *
Q4. Do you subscribe to free school meals? *
Motivation Statement *
Please tell us why you would like to participate in Shadow A Scientist and how it might benefit you (300 words max)
Your answer
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