Petition Request Form

{"elements":[{"isDiscrete":false,"hidden":false,"name":"1450105252694_0.4366769996023945_0.45235712386083404","readOnly":false,"id":196711017,"type":"commentElement"},{"isDiscrete":false,"hidden":false,"name":"Title of Petition","readOnly":false,"id":196733052,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Name of Lead Petitioner","readOnly":false,"id":196742370,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Name of Society or Campaign Group (if applicable)","readOnly":false,"id":196711020,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Contact Email Address","readOnly":false,"id":196731867,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Please provide a brief outline of the substance of the petition (max.250 words)","readOnly":false,"id":196733407,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"false","value":"0-false"},{"text":"false","value":"1-false"},{},{"text":"false","value":"3-false"},{"text":"false","value":"4-false"}],"name":"Please upload your petition here","readOnly":false,"id":196734669,"type":"attachment"},{"isDiscrete":true,"hidden":false,"values":[{"text":"No","value":"0-no"},{"text":"Yes","value":"1-yes"}],"name":"Please indicate whether you have raised the issue in any other University forum","readOnly":false,"id":196733847,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"If you have answered yes to the above please give details","readOnly":false,"id":196734282,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"In Person, in addtion to this on-line submission (we will contact you to make an appointment with the University Secretary via the email address you provided above)","value":"0-inpersoninaddtiontothisonlinesubmissionwewillcontactyoutomakeanappointmentwiththeuniversitysecretaryviatheemailaddressyouprovidedabove"},{"text":"By Post","value":"1-bypost"}],"name":"Please indicate here whether in addtion to uploading your petition you also wish to submit your petition in person or by post (please note that you can only select one option)","readOnly":false,"id":196732634,"type":"radioElement"},{"isDiscrete":false,"hidden":false,"name":"1755107455221_0.6606719451868878_0.12852474279702641","readOnly":false,"id":196738139,"type":"commentElement"}]}