June 2022 - Experience Physics in Person and from Home                                                                        Physics Work Experience : Application Form

**UPDATE 15/6/22** 20th and 21st June now full, but late applications may be possible on 22nd June Wednesday.

Event Timing: 20th, 21st and 22nd June 2022 ;  start at 10.30 am - ends between 4 and 5pm each day
Event Address:  - Event hosted by Physics Department, Queen's University Belfast, BT7 1NN, Belfast,
Monday 20th, Tuesday 21st events will be in person
Wednesday 22nd event will be virtual

Contact us at mp.outreach@qub.ac.uk

We will be in touch to discuss arrangements. We expect it will be possible to join the virtual event with either a computer or phone connected to the internet.

Each day will be the same, please let us know all the dates you can participate - you can highlight a first and second preference. There is a space for you mention names of friends so that we can assign you to the same day.
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First Name *
Surname *
Contact email address *
Re-enter your contact email address *
Full name of your School/College and its address (address should at least give town/city, but does not need to be full postal address - and please give the full name of your school and not an abbreviation) *
Which year group were you in at School over the current academic year that is just finishing (2021-22)? *
Subjects you are currently studying *
Required
Other subjects you are currently studying
Monday 20th June (In person at Queen's University Belfast) *
Tuesday 21st June (In person at Queen's University Belfast) *
Wednesday 23rd June (Online virtual event) *
Please give a brief description of why you would like to participate in Experience Physics From Home (maximum 100 words) *
Any other details we should know, e.g. can you tell us the names of friends also applying so we can try to schedule you for the same day.
For in person events: Do you have any dietary requirements / allergies (use box below if you run out of space) *
For all events: Do you have any medical/disability issues that we should be aware of? *
For all events, but particularly the virtual event: contact 'phone number *
ICE : Emergency contact - name of emergency contact *
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