Apply for EmpowerUs

The information you submit on the form below will be used in the application and selection process for the EmpowerUs programme.

Applications are now closed.

If you have any questions, please get in touch at .

Full name

Email address

Job title

Grade

Department

How would you like to develop and progress your career?

Line manager’s name

Line manager’s email address

Tick to confirm that you and your line manager can both attend all sessions

We are committed to enabling you to participate fully in this event. Please let us know about any special needs or requests you would like us to take into account. These may include accessibility, dietary, or learning requirements. Any information you provide will remain confidential, and be used solely to support your needs.

Privacy notice

This form will be used to manage participation in the EmpowerUs. Your participation will be recorded and associated with your name, but the data will not be used for any purpose other than as a record of sign up for the programme. Please see our Staff Privacy Notice or Student Privacy Notice for further information.

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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