Please complete the following form (it should not take more than 3 or 4 minutes). Thank you.

* 1. Gender

* 3. First Name

* 4. Middle Name

* 5. Surname

* 6. Job Title

If you are not affiliated to a university or college, please put N/A in question 7 and continue to fill in your address and details in questions 8 to 11:

* 8. Name of University or College

* 9. Address

* 11. Email address

* 12. Telephone number

* 13. Home address (only complete if preferred for mailing purposes)

* 15. Mailing options*

* Please note that if you are based outside the United Kingdom or Republic of Ireland we are not able to send you copies of our publications. However, they are available in PDF format on our website.

* 16. Please indicate your agreement to the following statement:

* 17. Please indicate your agreement to the following statements regarding the storage and use of your data:

Your data will be held in accordance with the Data Protection, Human Rights and Freedom of Information Acts.
The Higher Education Academy and its Subject Centre network will not share your details with any outside organisations unless you have given your express permission.

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