Additional Information Request

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Please specify what type and explain what arrangements you would need to be made for you (e.g. mild nut allergy - no nuts in food or severe nut allergy - no nuts in the room)","readOnly":false,"id":458552010,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Yes","value":"0-yes"},{"text":"No","value":"1-no"}],"name":"Do you have religious requirements","readOnly":false,"id":458549893,"type":"listElement"},{"isDiscrete":false,"hidden":false,"name":"If yes please give details of religious requirements ","readOnly":false,"id":458549952,"type":"textBoxElement"},{"isDiscrete":false,"hidden":false,"name":"Do you have any other additional requirements or anything else that you would like to discuss with us prior to the summer school ","readOnly":false,"id":458551831,"type":"textBoxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"true","value":"0-true"},{"text":"false","value":"1-false"},{"text":"SS_Ambassador_Badge_Photo","value":"2-ssambassadorbadgephoto"},{"text":"false","value":"3-false"},{"text":"false","value":"4-false"}],"name":"Please upload a current passport-style photo of yourself for your ambassador badge.","readOnly":false,"id":494215461,"type":"attachment"}]}

Uni ID

Forename

Preferred name

Surname

Date of birth

Gender

Current course

Your mobile number

Experience Warwick Year 10

Experience Warwick Year 8

Pathways to Law

Pathways to Banking

Sutton Trust Summer School

Emergency contact 1 - Full name

Emergency contact 1 - Relationship to ambassador

Emergency contact 1 - Home address

Emergency contact 1 - Daytime telephone

Emergency contact 1 - Evening telephone

Emergency contact 2 - Full name

Emergency contact 2 - Relationship to ambassador

Emergency contact 2 - Home address

Emergency contact 2 - Daytime telephone

Emergency contact 2 - Evening telephone

Do you consider yourself to have a medical condition (including mental health, disability, access requirements such as wheelchair access, or learning support need)? (Please note this will not affect your role but will allow us to support you in fulfilling your job requirements.)

If yes please give further details of disability and any access or support requirements you have

Do you have any dietary requirements

If yes please give further details of dietary requirements (for allergies please fill in the next section)

Do you have any allergies

If yes please give details of allergies. Please specify what type and explain what arrangements you would need to be made for you (e.g. mild nut allergy - no nuts in food or severe nut allergy - no nuts in the room)

Do you have religious requirements

If yes please give details of religious requirements

Do you have any other additional requirements or anything else that you would like to discuss with us prior to the summer school

Please upload a current passport-style photo of yourself for your ambassador badge.

Attach file

No files are currently attached.

Privacy notice

Privacy statement The University of Warwick will process your personal data provided on this online form for the purpose(s) of the safe running of the individual summer schools. The legal basis for processing this personal data is public task. Your personal data will not be shared or disclosed to any third parties external to the University of Warwick except Unitemps who only process your personal data for the purposes of assessing your eligibility to work as a Summer School Group Leader and making payments to you in accordance with your service; and the Sutton Trust for anyone working on the Pathways Conferences, as they co-organise these. Your personal data will not be transferred outside of the EEA, will be kept securely by the University of Warwick and will be retained throughout your student journey up until you graduate. The University of Warwick is the Data Controller of this information and is committed to protecting the rights of individuals in line with Data Protection Legislation. Please visit the University’s Data Protection webpages for further information in relation to your rights and how the University processes your personal data here: https://warwick.ac.uk/services/idc/dataprotection. The University’s Data Protection Officer can be contacted through infocompliance@warwick.ac.uk and any requests or complaints should be made in writing to the University’s Data Protection Officer.

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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