Your Details

Please ONLY complete this form if you're applying to the CUSU Shadowing Scheme as a MATURE STUDENT (ie. you expect to be 21 or older when you begin your course of study).

The mature students' strand of the Shadowing Scheme will take place from the 6th - 8th February 2020.

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* 1. First name

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* 2. Surname

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* 3. Email address

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* 4. Confirm email address

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* 5. Home address

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* 6. Phone number

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* 7. Gender

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* 8. Ethnicity

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* 9. Date of birth

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