Register: Undergraduate Experience Day - Manchester 24/25

Name(Required)

First Last

Pronouns

Email address(Required)

Phone number

Date of birth(Required)

What best describes you?(Required)

Postcode(Required)

Do you live in the UK or overseas?(Required)

UK

Overseas

Unsure

Please select which best describes your ethnicity(Required)

Other, please state

Please select which best describes any disability you may have(Required)

Please let us know of any access arrangements that you require or anything you would like us to be aware of

Will your parents/guardians attend the Q&A at the end of the session?(Required)

Yes

No

Unsure

If yes, how many adults will attend?

Emergency contact name(Required)

First Last

Relationship to you(Required)

Emergency contact number(Required)

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