Bespoke professional learning request form

Name *

Organisation *

Address *

Email *

Phone number *

Suggested date(s) and length of visit (for international visitors)

Nature of request and areas of interest *

Further details (please provide any further details to help us with creating a draft programme and costing to suit your group's needs) *

Number and profile of participants *

I consent to the University processing the information I provide. *

We will use your personal data to allow us to process your registration, communicate with you and obtain your feedback about the this course. We are processing the information about you for these purposes because, by registering for the course, you give your consent for us to do so.

We will retain this data for 5 years after the course date.