*Please do not contact your former school until you have attended an information session*

Name:

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* 1. Name:

Contact Email Address:

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* 2. Contact Email Address:

Contact Phone Number:

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* 3. Contact Phone Number:

Subject of study:

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* 4. Subject of study:

Year of study:

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* 5. Year of study:

School name:

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* 6. School name:

Possible teacher contact:

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* 7. Possible teacher contact:

School Address:

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* 8. School Address:

Have you been back to or delivered a talk or activity at your old school/ college since you started at the University of Reading?

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* 9. Have you been back to or delivered a talk or activity at your old school/ college since you started at the University of Reading?

If yes, please give details.

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* 10. If yes, please give details.

Have you ever assisted on events/ delivered talks to prospective students on behalf of the University of Reading? E.g. for open days, visit days, campus tours, school groups etc.

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* 11. Have you ever assisted on events/ delivered talks to prospective students on behalf of the University of Reading? E.g. for open days, visit days, campus tours, school groups etc.

If yes, please give brief details of the kinds of activities/talks you have been a part of:

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* 12. If yes, please give brief details of the kinds of activities/talks you have been a part of:

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