Young Professionals
Derby Conference

Wednesday 8th October 2025 | 5pm - 8pm

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* 1. First Name

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* 2. Last Name

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* 3. What are your pronouns?

He/Him

She/Her

They/Them

Other

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

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* 6. School / University

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* 7. Head of Careers Email (We ask for this in case you are offered an in-person opportunity and need relevant authorisation to attend during school time).

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* 8. Head of Year Email (We ask for this in case you are offered an in-person opportunity and need relevant authorisation to attend during school time).

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* 9. Year Group

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

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* 11. Gender

Male

Female

Prefer not to say

Other

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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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* 13. Ethnicity

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* 14. Region

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

Yes

Prefer not to say

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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)

Yes

Prefer not to say

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* 17. What was the occupation of your main household earner when you were about aged 14?

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

Yes

Prefer not to say

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* 19. Do you have a disability (including a Neurodiversity, e.g. Dyslexia, ADHD, ASD – 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 112 UCAS points? (BBB or equivalent)

Yes

Not sure

Already at University

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* 22. What do you want to do after education?

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* 23. Do you / did you study Maths at A Level / Highers?

Yes

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* 24. Do you / did you study Computer Science at A Level / Highers?

Yes

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* 25. Do you speak any other languages other than English?

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* 26. Do you have any dietary or accessibility requirements?

Yes (please specify)

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* 27. Where did you hear about this event?

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* 28. We are deeply committed to protecting your personal information. For a comprehensive overview of how we handle your data, please refer to our Privacy Policy.

If you DO NOT agree to any of the below statements, please contact info@young-professionals.uk before continuing with the registration.

**I confirm that I have read and agree with your terms and conditions.

Yes

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* 29. I confirm that I give permission for photos and video footage of me to be captured during the event and used by Young Professionals UK for marketing, reporting, and promotional purposes across social media, website, and other channels.

Yes

Young ProfessionalsDerby Conference

Wednesday 8th October 2025 | 5pm - 8pm

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. What are your pronouns?

Question Title

* 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)

Question Title

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

Question Title

* 6. School / University

Question Title

* 7. Head of Careers Email (We ask for this in case you are offered an in-person opportunity and need relevant authorisation to attend during school time).

Question Title

* 8. Head of Year Email (We ask for this in case you are offered an in-person opportunity and need relevant authorisation to attend during school time).

Question Title

* 9. Year Group

Question Title

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

Question Title

* 11. Gender

Question Title

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

Question Title

* 13. Ethnicity

Question Title

* 14. Region

Question Title

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

Question Title

* 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)

Question Title

* 17. What was the occupation of your main household earner when you were about aged 14?

Question Title

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

Question Title

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

Question Title

* 20. Home Postcode

Question Title

* 21. Are you on track for 112 UCAS points? (BBB or equivalent)

Question Title

* 22. What do you want to do after education?

Question Title

* 23. Do you / did you study Maths at A Level / Highers?

Question Title

* 24. Do you / did you study Computer Science at A Level / Highers?

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* 25. Do you speak any other languages other than English?

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* 26. Do you have any dietary or accessibility requirements?

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* 27. Where did you hear about this event?

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* 29. I confirm that I give permission for photos and video footage of me to be captured during the event and used by Young Professionals UK for marketing, reporting, and promotional purposes across social media, website, and other channels.

Young Professionals
Derby Conference