Outreach Event Booking A-level Revision Day

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A2 REVISION DAYS: TUESDAY 15th and WEDNESDAY 16th APRIL - 09:30-16:30, WESTWOOD TEACHING CENTRE, UNIVERSITY OF WARWICK Please fill in the form below to register students for the A2 Level Revision Days. Lunch and refreshments will be provided. Students DO NOT have to be accompanied by a school teacher. Schools can register up to 5 students to study ONE of the following FOUR subjects: English Literature, History, Chemistry and Psychology. Please check the original email for details of the programme. Registered students should be in Year 13, be expected to achieve A*-B in their A-Levels, and meet at least ONE of these widening participation criteria: No parental history of Higher Education; Eligible for Free School Meals/Pupil Premium. Living in areas of high deprivation and low participation rates to accessing HE; Identify as disabled; Are or have been in local authority care. If you have any queries or concerns about the event or this form, please email outreach@warwick.ac.uk for further information. PLEASE NOTE: PSYCHOLOGY AND CHEMISTRY ARE NOW FULLY BOOKED

School Name

Contact Teacher Name

Contact Teacher Telephone

Contact Teacher Email

Student 1 Name

Subject Choice For Student 1

Tuesday 15th April

Wednesday 16th April

Both Days

No parental history of Higher Education

Eligible for Free School Meals/Pupil Premium

Living in high areas of deprivation/low participation rates to access HE

Identify as disabled

Are of have been in local authority care

Student 2 Name

Subject Choice For Student 2

Tuesday 15th April

Wednesday 16th April

Both Days

No parental history of Higher Education

Eligible for Free School Meals/Pupil Premium

Living in areas of high deprivation/low participation rates to accessing HE

Identify as disabled

Are or have been in local authority care

Student 3 Name

Subject Choice For Student 3

Tuesday 15th April

Wednesday 16th April

Both Days

No parental history of Higher Education

Eligible for Free School Meals/Pupil Premium

Living in areas of high deprivation/low participation rates to accessing HE

Identify as disabled

Are or have been in local authority care

Student 4 Name

Subject Choice For Student 4

Tuesday 15th April

Wednesday 16th April

Both Days

No parental history of Higher Education

Eligible for Free School Meals/Pupil Premium

Living in areas of high deprivation/low participation rates to accessing HE

Identify as disabled

Are or have been in local authority care

Student 5 Name

Subject Choice For Student 5

Tuesday 15th April

Wednesday 16th April

Both Days

No parental history of Higher Education

Eligible for Free School Meals/Pupil Premium

Living in areas of high deprivation/low participation rates to accessing HE

Identify as disabled

Are or have been in local authority care

Additional Information

It is the school contact teacher's responsibility to pass on all event information to their students in advance. Cancellations must be made at least 1 week prior to the event. If this notice period is not met or a student does not attend, the school will be invoiced a cancellation fee of £20 per learner.

Privacy notice

The data collected in this form will be used to administer the A2 Level Revision Day and will not be used for any other purpose.

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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Outreach Event Booking A-level Revision Day

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