Wednesday 6th November & Wednesday 13th November

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* 1. First Name

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* 2. Last Name

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* 3. 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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* 4. Mobile Number (please provide your number so we can confirm your place via text)

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* 5. Home Postcode

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* 6. What type of school do/did you go to?

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* 7. Name of School/University

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* 8. Year Group

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* 9. Gender

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* 10. 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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* 11. Ethnicity

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* 12. Region

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

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* 14. 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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* 15. What was the occupation of your main household earner when you were in secondary school

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* 16. Have you ever been or are you currently in care?

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

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

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* 19. What do you want to do after your education?

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* 20. Do / Did you study Maths at A-Levels?

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* 21. Do / Did you study Computer Science at A-Levels?

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* 22. 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.

Please note upon successful completion of this application form you will be redirected to our Instagram page (this means we have received your application). We will be in touch with all candidates as soon as possible, please note this can take up to 5 days.

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