Live Chat
What force is responsible for most bridge failures?
 

residential courses.jpg

Years 11 & 12 Application Form Apply Online


SELECT COURSE required field

Railway Engineering:
(University of Birmingham)
14th - 17th July 2014 275  
Railway Engineering:
(University of Huddersfield)
21st - 24th July 2014 275  

 

APPLICANT'S DETAILS

Surname:   required field
First name:   required field
Gender:  Male Female required field
School Year:   required field
Date of Birth:   required field
Nationality:   required field
Mobile Phone:   required field
Email:   required field
Telephone (daytime):   required field
Telephone (evening):   required field
Address line 1:   required field
Address line 2:  
Town:   required field
County:   required field
Postcode:   required field 
The Smallpeice Trust is committed to a policy of equal opportunities. Please complete this section for monitoring purposes only. I am:
required field
   
What is the single most important factor which influenced you to apply for this course?
A friend/family member Visit from Smallpeice Trust At a careers fair My school/teacher Smallpeice mailing/e-shot Our website Other website - please specify* Other - please specify* required field
*
   
What has attracted you to apply for this course?
(mention any involvement with engineering related clubs, subjects studied at school, career aspirations, hobbies and interests etc)
required field
   
If accepted onto the course, what skills will you be able to offer your team members? (provide examples of times when you have applied these skills)
required field
   
Have you ever attended a Smallpeice activity day (STEM) at your school?
YesNo

 

PARENT(S) / GUARDIAN DETAILS AND AUTHORISATION

Title:   required field
First Name:   required field
Surname:   required field
Telephone:   required field
Address line 1:   required field
Address line 2:  
Town:   required field
County:   required field
Postcode:   required field 

 

PARENT(S) / GUARDIANS AGREE: yes no required field

Please check the box to confirm that the applicant's parent(s) / guardian(s) give permission for the applicant to attend the indicated Smallpeice Trust residential course. They understand that if the applicant's application is successful, they will be responsible for arranging transportation to and from the course venue. They understand that students may have to cross a main road between the residential accommodation and working rooms, and that it may not be possible to put male and female students into separate blocks, but at a minimum the genders will be segregated by floor. They have read the conditions below and fully understand them.

 

SCHOOL AND TEACHER DETAILS

Title:   required field
First Name:   required field
Surname:   required field
Please enter your position:   required field
School Name:   required field
Address line 1:   required field
Address line 2:  
Town:   required field
County:   required field
Postcode:   required field 
Telephone:   required field
Email:   required field
   

 

INVOICING - A successful application will incur a non-refundable registration fee. An invoice will be forwarded to the parent/guardian unless a different name and address is entered here.

Name:  
Position:  
Organisation:  
Telephone:  
Address line 1:  
Address line 2:  
Town:  
County:  
Postcode:   

 

CONDITIONS - Registration fees are to be paid within two weeks of the date of invoice. The Smallpeice Trust reserves the right to withdraw student’s places where the invoice is unpaid. Notification of withdrawal of a place will be made in writing. Course fees are non-refundable and we reserve the right to charge non-attendance at the full unsubsidised rate where less than 10 days notice is given. As the payee of the registration fee, I understand these conditions. 

 

If you DO NOT want to receive updates by email from us please tick this box:  
If you DO NOT want to receive updates from us to your mobile, please tick this box:  
If you DO NOT want to receive updates by post from us , please tick this box:  
From time to time other engineering initiatives request information about our students. If you DO NOT want your details to be passed on to other organisations, please tick this box:  

 

required field = Required

 


Bookmark and Share
 
 
 
Big things happen with The Smallpeice Trust
*