Smallpeice Trust

Agri-Tech Engineering 2024 (residential)

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first name* Student names entered here will be used on all correspondence and will be printed on certificates, name badges etc., so please ensure it is the student's preferred name.

last name*

Date of Birth*

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Student Email*

Login details and key information may be sent to this email address so please make sure the student has access to it. Please DO NOT use school email addresses as we often find school email filters do not let our emails through. If the student doesn’t currently have a personal email address, one can be created quickly via Gmail or Outlook.

Mobile Number*

Home Number (Optional)

Heard About Event*

If you’re applying for a sponsored place, please enter your code here

Parent/Guardian Title*

first name*

last name*

Is your parent/guardian living at the same address?

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Parent/Guardian Email*

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Mobile Number*

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Are you Homeschooled?

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School Name*

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Other School Name

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Teacher Title*

Teacher's first name

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Teacher's Email*

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