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Inspire Student Online Application 2018

Students Details
Students Home Contact Details

This must be your home/residential address even if it's overseas.

Teacher Details

Please search by School Name, School Address or School Postcode. If your School is not listed and you have tried searching by postcode, please click here to request it to be added and type "Not Listed" into this School field.  You may then carry on with your application.

Please search by School Name, School Address or School Postcode
In Case of Emergency

Emergency contacts must be over 18 and at least one should be in the UK for the duration of the course 

1st Emergency Contact Details
2nd Emergency Contact Details
Medical Details

We want to help you get the best from your Headstart experience and need you to tell us about any special arrangements we need to make. This will not adversely affect you gaining a course place but you must keep us up to date on your wellbeing, so that we can put in place arrangements to look after you.
Please use this space to tell us about any of the following:
Mobility issues, hearing or visual impairment
Any health or medical conditions including anxiety or eating disorders
Any other recognised or diagnosed condition for example ADHD, Asbergers Syndrome, or Autism

If you have mentioned you are allergic to any foods that may cause a medical issue please ensure you also add this information in the medical field above.
Request for Financial Assistance
If you are eligible for free school meals now or within the last 6 years, if you are or who have been in local authority care or if you are carer for family members, we will need to ratify this with your school to confirm eligibility. If your family is receiving Working Tax Credit or Universal Credit, you will be required to evidence it.
Please note if you have ticked this box and an offer is made to you, you will need to arrange for your school to either pay online by the deadline date or to send us written confirmation so that we can invoice them for the amount they will contribute.
Help us reach more people like you

If you have previously participated in another Scheme then please click here and complete the form

Preferred Courses

If you have more than 5 preferences please email us at headstartteam@etrust.org.uk and we will add them to your application.

Your qualifications and current course of study
You must complete this section with ALL your GCSEs or equivalent (At least 5 subjects) in order for us to process your application If you have not received a grade yet, please use TBC and the year you expect to complete the qualification. eg. English, Modern Languages, GCSE - TBC, 2018/19
Future Studies
This is your possible future course of study, eg. AS & A Levels - You must complete this in order for us to allocate you to a course.
Future Career
Data Protection

Photo consent

During participation in your chosen EDT programme, photographs/video footage may be taken of you and used by EDT or its partner organisations to promote EDT and STEM activities. Some examples of how we use images/video footage are for brochures, social media, website and fundraising resources. Images are carefully selected to portray the programmes and students positively as well as to further promote our cause. We will hold images/video footage for the remainder of this programme and two years thereafter.

Data Protection Act

Engineering Development Trust stores the personal information you give us to allow us to administer the Scheme programme. We also use it to provide you with current and future information about our, and third parties’ services and engineering opportunities. Should you consent, we will hold your data for the remainder of the programme delivery and two years thereafter. We will then contact you with the option to ‘opt in’ to keep your details on our files for future opportunities available to you.    

Parent/Guardian/Carer Declaration (not older sibling unless legally appointed as guardian)

My child/ward is under the age of data consent currently set at 16. I therefore give my consent to this application (including the use of images/video footage where such consent has been given above) and will support my child/ward in fulfilling the requirements of the above declaration.

NB, I understand that EDT is responsible exclusively for the allocation of places to our courses.

You cannot submit this registration until ALL Mandatory fields have been completed