Careers and Admissions Conference - Wednesday 22 April 2015

1. Booking Form

 
Please complete the following to book for the Careers and Admissions Conference at the University of Birmingham on Wednesday 22 April 2015.
*
1. First name (as you would like it to appear on your name badge)
*
2. Last name
3. Job title
*
4. Email address
*
5. Name and address of your institution
There will be the opportunity to attend three workshops during the day. Please indicate your choice below.
*
6. Please indicate one choice for Workshop Session One
*
7. Please indicate one choice for Workshop Session Two
*
8. Please indicate one choice for Workshop Session Three
*
9. Do you have any special dietary requirements?
10. If you have a disability or any other special needs, please advise us so we can make any necessary arrangements
The information provided by you will be held by the University of Birmingham in accordance with the University's Data Protection Policy which can be found at: http://www.legalservices.bham.ac.uk/data_protection_policy/index.htm

Powered by SurveyMonkey
Check out our sample surveys and create your own now!