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* 1. Student Name

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* 2. Email Address

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* 3. Work Location

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* 4. Job Title

Please complete this form to choose your study day preferences for semester one for academic year 2017/18. You have a choice of six options for each of the five semester one study days. If you find nearer the time that you can no longer make the day you have chosen and you need to change it, there will be flexibility to do so.

You will book your semester two study days later in the year online. We will be opening the booking system for you to do this from late September onwards.

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* 5. Teaching and Learning in the Classroom Day One (please select one option)

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* 6. Teaching and Learning in the Classroom Day Two (please select one option)

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* 7. Teaching and Learning in the Classroom Day Three (please select one option)

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* 8. Teaching and Learning in the Workplace Day One (please select one option)

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* 9. Teaching and Learning in the Workplace Day Two (please select one option)

Thank you very much for completing this form.

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