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SNI PTR BOOKING 2012

The Part-Time Researcher conference is now full. You can still fill in this form and your name will be placed on a waiting list.

Title: *: Other, Please specify

First Name: *

Surname: *

Please provide a contact email address: *

Do you use twitter?: *: Please select
Yes
No

What is your current area of research?: *: Architecture
Art
Biochemistry
Biological Sciences
Chemistry
Classics, Ancient History, & Archaeology
Computer Science & IT
Economics, Politics, & Business Studies
Engineering
English Language & Literature
Geography & Earth Sciences
History
Languages & Linguistics
Librarianship & Information Science
Material Sciences
Mathematics & Theoretical Physics
Medical Sciences
Music & Performing Arts
Philosophy, Religion, & Law
Physics
Psychology & Education
Sociology
Visual Arts & Media
Other

Are you a postgraduate researcher or a member of research staff?: *: Research Staff
Postgraduate Researcher

In which University do you carry out your research?: *

Department: *

Town of residence: *

How many years have you been a part-time researcher?: *

What is your motivation for undertaking part-time research?: *

What is your motivation for attending the Part Time Researcher Conference?: *

Have you attended the Part-Time Researcher Conference before?: *: Please select
Yes
No

If Yes, please provide details of why you are attending again:

Have you attended other training and development courses in your HEI?: *: Please select
Yes
No

If yes, please provide details:

Please rate your current skill level in identifying your own career options and drivers. : *: 1 - low
2 - average
3 - high
4 - very high

What part-time researcher networks are you most interested in engaging with at the conference?: *

If other, please provide details:

Dietary Requirements: *: Vegetarian
Vegan
Pork free
Nut/seed free
Gluten free
Sugar free
Halal
Kosher
Other
No special requirements

Please select the workshops you would like to attend at the conference. Workshop session 1: : *

Workshop session 2: *

Workshop session 3: *

Workshop session 4: *

I consent that data generated by my feedback can be used for the purposes of research for educational purposes. All data will be anonymous and dealt with in accordance with data protection and individual confidentiality.: *

Data Protection Act

By registering for this course, your details will be held on Vitae's database for administrative purposes only.

Your contact details will be stored in accordance with the Data Protection Act, and will not be passed on to third parties.

Please contact us if you have any feedback about the service you receive from us, or if you would prefer not to be contacted by us in future.

Photo Permission

We will be taking photographs throughout the conference, some may be used on the website and/or for publicity materials. If for any reason you are not comfortable with this then please contact: sandnihub@vitae.ac.uk

www.vitae.ac.uk

policy and practicefor staff supporting the development of researchers

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SNI PTR BOOKING 2012

Data Protection Act

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