Writing Wrongs Application Form 2024/25

CONTACT DETAILS

First Name

Surname

Email address

Date of Birth

Address line 1

Address line 2

Town or city

County

Postcode

Mobile number

SCHOOL DETAILS

School/college name

School postcode

Year

Name of school contact (e.g. form tutor or Head of Sixth Form)

Email address of school contact (e.g. form tutor or Head of Sixth Form)

School you sat your GCSEs in (if different to current school)

Please tell us briefly why you would like a place on the Writing Wrongs Programme

EMERGENCY CONTACTS AND ADDITIONAL INFORMATION

Parent/carer name

Parent/carer contact number

Any disabilities/medical conditions/allergies (e.g. epilepsy diabetes asthma) or learning difficulties/additional needs

Any food allergies/intolerances or special diets

EQUAL OPPORTUNITIES

My parents have not been to university

I am eligible for Free School Meals

I live, or have lived, in Local Authority Care

Other

Gender (for monitoring purposes only)

Ethnicity (for monitoring purposes only)

I agree

I do not agree

Privacy notice

This form will be used to manage attendance at an event. Your attendance at the event will be recorded and associated with your name, but no other personally identifiable data will be stored, and the data will not be used for any purpose other than as a record of the event.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at infocompliance@warwick.ac.uk.

Full Data Protection statement for Monitoing and Evaluation purposes