Thursday 9th February 5pm - 6:30pm

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

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* 5. School / University

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* 6. Year Group

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

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* 8. Gender

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* 9. 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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* 10. Ethnicity

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* 11. Region

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

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* 13. 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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* 14. Have you been or are in care

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* 15. 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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* 16. Home Postcode

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* 17. Are you on track to get GCSEs (or equivalent ) to 4 and above in Math, English and or Science

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* 18. What do you want to do after school?

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