SIM UNI CCSG Nomination Form

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Workshop name

Name:

Please select your CCSG department

Email: (required)

Tel: (required)

Job Title/Job Role

Grade

Please select:* (required)

Please consider my nomination for a place on the 15 March 2018 workshop

Having considered the aims and objectives of the workshop please explain your reasons and how the workshop could benefit your individual/departmental objectives.

Line Managers Supporting Statement

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

I agree

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

Privacy notice

This form will be used in three different ways:
- To manage attendance at an event. Your attendance at the event will be recorded and associated with your name.
- To enable facilitators to tailor session to your needs. This information is passed on to facilitators by their administrators and is used for the purpose of allowing them to see if the session can be tailored to address specific issues. It will be stored until after the end of the term in which the event was held.
- To monitor and improve learning and development across the University. Your attendance or non attendance will be recorded and this information will be sent to your Department.
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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