F2F Routes Into STEM

Students Home Contact Details

Address Line 1

Address Line 2

Address Line 3

Town

County

Postcode

Country

Mobile Phone

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. Please provide a separate phone number for each of your emergency contacts.

Title

First Name

Last Name

Mobile Phone

Relationship

Title

First Name

Last Name

Mobile Phone

Relationship

Medical Details

We want to help you get the best from your Routes into STEM experience and need you to tell us about any special arrangements we need to make. You must keep us up to date on your wellbeing, so that we can seek to put in place arrangements where we are able to best support you taking part.

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, Asperger's Syndrome, or Autism

Do you have any medical information you would like to make us aware of?

NoYes

Do you have any dietary information you would like to make us aware of?

NoYes

Preferred Courses

Please select your routes into STEM course

Have You Previously Achieved Any Industrial Cadets Awards?

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.

I give consent to my photos/videos being used for the purposes stipulated above

Parent/Guardian and Student have read and understood the three EDT policies below

Click here for EDT's Privacy Policy | Click here for EDT's Online Policy | Click here for EDT's Safeguarding Policy

Student Details

Students Home Contact Details

In Case Of Emergency

Medical Details

Preferred Courses

Have You Previously Achieved Any Industrial Cadets Awards?

Data Protection