Short Term Mobility Submission Portal

For Impact Statements - Some ideas of what to include in your feedback

What made you want to take part in this experience.
What you did during the experience
What were the best bits
What were the most impactful parts of the experience for you
Has the experience led to any changes/developments to your academic studies or career goals
What have you taken away from the experience
Would you recommend the experience to others
If you received funding, what difference has this made to you

For Impact Statements - Short description of experience

Permissions

By signing this form I understand that I consent to the image, footage and/or audio of myself that I have submitted being used by the University of Warwick for the purposes listed below, and I understand that they may be published in locations listed there.

I have read and understood the privacy notice provided below.

I further understand that:

My images, footage and/or audio recordings will be held in accordance with the Data Protection Act 2018 and the General Data Protection Regulation 2016.
I can ask the University to stop using my images, footage and/or audio recordings at any time, in which case they will not be used in future publications but may continue to appear in publications already in circulation.

We reserve the right to publish the content in any appropriate manner, including but not limited to the following:

Digital communications

Publications on websites, digital screens, and other online platforms (including social media platforms Facebook, Twitter, and Instagram; iTunes U, YouTube). These generally include photographs, edited articles, interview transcripts, podcasts, videos, film and broadcast media.

 Print publications

Publications such as magazines, reports, postcards, envelopes, leaflets, prospectuses, and outdoor promotional material (including lamp-post banners and posters). These generally include photographs and edited articles, and promotion of digital materials.

 Other types of communication

Publications on news platforms, such as newspapers, magazines, television and radio shows, and/or any other media or distribution channel now known or to be invented.

Upload your files here

Attach file

No files are currently attached.

Non Warwick E-mail

Address line 1

Address line 2

Town or city

Social media handles Please add these if you are happy for us to tag you online

Date of experience

Privacy notice

Please visit our Privacy Notice online here Privacy Notices

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.

Let us know you agree to cookies

Student Opportunity Student Mobility

Short Term Mobility Submission Portal

Failure to load reCAPTCHA