Outreach booking form

Please complete the following form if you would like to be added to the mailing list. You can either select a specific event or chose to be invited to all future outreach events. You will receive an acknowledgement of your booking/request once it has been received

Your details

Title:

First name:

Family name:

Position in School or College:

Name of School or College:

Address:

Post Code:

Email address:

Telephone number:

Outreach

Please select the events you are interested in:

Science all around us for 9 to 11 year olds Year 10 Lecture for 14 to 15 year olds Work shadowing for 16 to 17 year olds Christmas Lecture for 12 to 14 year olds Talks and workshops by academics Faculty careers evening

Do you want to be on our mailing list:

Yes

If you are requesting a school or college visit please give further details:

IMPORTANT Please add ugafnes@soton.ac.uk to your contacts list on your email account to ensure that all email correspondence is delivered to your inbox.

Data Protection
The University of Southampton Data Protection Statement: The University of Southampton strives to handle personal data in accordance with the Data Protection Act, 1998. Read Data Protection Policy.

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