Page 1: Get Talking Application

Thank you for applying to take part in Get Talking 2021

Please complete the application form, answering all questions as thoroughly as possible. Note that fields marked with an asterix (*) are compulsory.

We will not release data to anyone who is unauthorised Under the Data Protection Act 1998 or to any third party. Information submitted will be used as content in the case studies, and may also be used for promotional purposes.

We will also use this information provided for internal purposes, in order to monitor, evaluate and improve our work.

Dates need to be in the format 'DD/MM/YYYY', for example 27/03/1980.

(dd/mm/yyyy)

5.5. Gender Required
7.7. Will you be studying part-time or full-time?  Required
8.8. What course and level have you applied for at Birkbeck, University of London? Required
10.10. Did one or both of your parents/carers go to university? Required
11.11. Do you consider yourself to have a disability?  Required
12.12. When were you last in education? Required
13.13. What is your highest qualification to date? Required
15.15. All meetings will take place online. Please confirm that you have the software available to conduct this meeting online: Required
16.16. I confirm I am happy for my e-mail address to be disclosed to a former Birkbeck student Required