Monday 9th December 2024, 5pm - 6pm

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* 1. First Name

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* 2. Last Name

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* 3. What are your pronouns?

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* 4. Personal Email (school/university email systems sometimes prevent our emails from landing in your inbox. If you have one, you might prefer to provide your personal email address instead)

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* 6. School / University

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* 7. Head of Careers Email address

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* 8. Form tutor / subject lecturers email address

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* 10. Mobile Number (so we can confirm your place via text)

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* 11. Gender

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* 12. Parent/Guardian Email (we use this only to let your parents know you have joined the programme and details about it).

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* 15. Have you ever been eligible for free school meals?

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* 16. Are you the first generation of your family to go to Uni? (we ask this so we can understand whether you would be the first person in your family to go to university)

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* 18. Have you been, or are in care?

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* 19. Do you have a disability (including a Neurodiversity, e.g. Dyslexia, ADHD, Asperger’s – where you may get extra time in exams)?

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* 20. Home Postcode

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* 21. Are you on track for 96 UCAS points?

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* 23. Do you / did you study Computer Science at A-Levels?

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* 24. Do you / did you study Maths at A-Levels?

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* 25. Where did you hear about this event?

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* 26. Again, we take the confidentiality of your personal data very seriously and we have set out all the details about what we do with it in our Privacy Policy.

Please select ‘yes’ if you agree to our terms or ‘no’ if you do not.

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