Back to School Roadshow Sign Up Form

Please fill in your information below so we can plan the Roadshow and stay in touch with you to keep you updated about the plans and your involvement.

The information we collect from you will only be used to respond to your enquiry and the information is not stored on the website. We do not use information for marketing purposes and do not pass personal information on to anyone else.  When people subscribe to our electronic newsletter, they can cancel their subscription at any time.'
If you have any queries please email us at; hello@integratedalumni.org

Thank you!

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name?

Question Title

* 3. What is your mobile phone number?

Question Title

* 4. What is your email address?

Question Title

* 5. Which integrated school were you a pupil at? (Insert N/A if you did not attend an Integrated school)

Question Title

* 6. Where are you based now?  Please name the town (and Country if outside NI)

Question Title

* 7. Will you have use of a car for the Roadshow?

Question Title

* 8. Will you be flying back from outside NI to take part? If so, please give details.  Limited financial assistance is available subject to conditions.

Question Title

* 9. Are you available for the following dates?

Question Title

* 10. Thank you for your interest and support!  We will be in touch soon with more information.  If you have any questions or comments please add below.  You can also contact us by emailing hello@integratedalumni.org 

T