Please use this booking form to request an activity from our menu, if you enter an e-mail address you'll get confirmation that we've received your details.
Title
Forename:
Surname:
Job Title:
Work Phone
Mobile Phone
Email Address
School or Organisation:
Year Group:
Number of Students Involved:
Activity Requested (please refer to our Menu of Activities):
Is this activity to be provided at:
If activity is be be held elsewhere please state:
Is this activity supported via Aimhigher?
If the event is to be provided at the University, has Aimhigher funding been approved by your District?
Please provided a choice of 3 provisional dates for this activity
Event time
Additional Information:
Disclaimer & submit
Data Protection - All information the Schools and Colleges Liaison Services holds will be used in accordance with the University's Data Protection Policy and Handbook of Regulations. If you have any questions about the data we hold about you, please contact us on Tel: +44(0)01484 47 2282 Email: schools.liaison@hud.ac.uk