Registration Form : Shadow A Scientist Summer 2019
If you have any queries or require help in filling the application, please email apply@scientistsandco.org. 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): *
Required
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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