University of Liverpool Year 12 STEM Experience Days Registration Form 2024

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Your Details

Email *

What is your surname? *

What is your given name? *

Emergency Phone Number *

Please give a phone number of someone who we can contact on the day in case of an emergency (we will not use this number for any other reason)

What is your date of birth? *

What is your home postcode? *

HEAT waiver (optional) *

I agree that the University of Liverpool can store my details which will include name, school, gender and Date of Birth. These details will be stored in accordance with the University of Liverpool's data protection policy which may include storage on the Higher Education Access Tracker database. Contact details or sensitive information concerning medical or access requirements will not be stored.

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