Is your activity request for Pre-16 or Post-16 students?*
 
 
 
 

If your activity is for pre-16 students, will 80% or more of the students you wish to bring to campus come from the Widening Participation groups listed here?

 
 
 
Widening Participation Group?*
 
 
 
 
School/college Name*
 
 
 
 
What would you like to book for your school/college?*
 
 
 
 
If you selected something else, please specify:
 
 
 
 
If you selected a talk or visit, please specify the topics you would like covered:
 
 
 
 
Contact details for organising member of staff: 
 
 
First Name*
 
 
 
 
Last Name*
 
 
 
 
Job Title (include subject area if relevant)*
 
 
 
 
Telephone number*
 
 
 
 
Email*
 
 
 
 
Alternative contact email address
 
 
 
 
Preferred date (dd/mm/yyyy), and start and finish time for the activity:*
 
 
 
 
How many students will be attending in your group?*
 
 
 
 
How many accompanying staff will be in attendance?*
 
 
 
 
What is the year group of attending students?*
 
 
 
 
Do any of your students or accompanying staff have any accessibility, dietary, medical or mental health requirements that we should be aware of?  
 
 
Other Special Requirements*
 
 
 
 
Would any of your students or accompanying staff like to access the Faith Centre whilst on campus?*
 
 
 
 
Which mode of transport will you be using on the day? If travelling by coach or minibus, please specify how many: 
 
 
Which mode of transport will you be using on the day?*
 
 
 
 
Any other useful information...
 
 
 
 
 
 
 
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