Book Impact

Workshop name

Name:

Department:

Email:

Tel:

In order to prioritise places for those with the greatest need, please tell us what you would like to learn as a result of attending this course.

Please note that this information is confidential and will only be shared with the programme facilitator and their administrator

Line Manager

Colleague

LDC Website

Monthly LDC e-newsletter

Email from LDC

Insite

Other

Please let us know if you have any special requirements including dietary requirements that we would need to take into account in the arrangement and delivery of this workshop.

I give permission for LDC to record my personal data for the purpose of processing course bookings (required)

I agree

I agree to give LDC a minimum of 48 hours notice if I am unable to attend this event (required)

Yes

Attendance records are monitored and data may be circulated to Heads of Departments and Administrators.

Privacy notice

Privacy Notice: As a member of staff, we ask that you read our updated Staff Privacy Notice carefully as it contains important information on how and why we collect, store, use and share your personal data, your rights in relation to your personal data and who to contact in the event that you have a query or complaint.” In order to view the privacy notice please see the link below. In order to view this privacy notice please copy the web address below into your browser. https://warwick.ac.uk/services/idc/dataprotection/privacynotices/staffprivacynotice.
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.

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