Language
English (UK)
Welsh (Cymraeg)
Adult Learning Taster Day 2024
Attendance at this event requires a completed 'Registration Form' for each individual who attends.
Reaching Wider is the South East Wales ‘Reaching Wider’ Partnership funded by the Higher Education Funding Council for Wales’ (HEFCW).
Our aim is to raise the aspirations and awareness of young people who may not normally consider Higher Education as an option. We do this by organising events and workshops. These take place at universities, colleges, schools and in the community.
Terms & Conditions and Privacy Policy
Reaching Wider is funded by the Higher Education Funding Council for Wales’ (HEFCW). Our aim is to raise the aspirations and awareness of people who may not normally consider Higher Education as an option. We do this by organising events and workshops. These take place at universities, colleges, schools and in the community.
Why are we asking for this information? Reaching Wider needs the information for:
administration of the event; to report to HEFCW (to make sure we meet the aims of the project); to research a person’s journey through education; health and safety; marketing.
Who will have access to my information?
Staff within each of the partner universities (the University of South Wales (including RWCMD), Cardiff University and Cardiff Metropolitan University) will have access to the information. If we ask other organisations to deliver events for us, contact information and medical information may be shared so they can run the event safely. For monitoring and research, some information (shown with an ‘**’ on the form) will be shared with organisations that research entry into Higher Education. This will let us anonymously track how many people who attend our events then go on to Higher Education.
What are my rights?
Under the General Data Protection Regulations (GDPR) you have some rights relating to your personal data. Some of these may be limited depending on the circumstances.
Who can I contact within the Reaching Wider team for more information?
E-mail: reachingwider@southwales.ac.uk for more information on our use of personal data, including your rights.
Participant
Name
*
First Name
Last Name
Date of Birth
*
Gender
Questions around ethnic origin and disability are optional and will only be used for equality and monitoring purposes
Ethnic Origin
Please Select
White - British
White - Other
Irish Traveller
Gypsy or Traveller
Black - Caribbean
Black - African
Other Black Background
Asian - Indian
Asian - Bangladeshi
Asian - Pakistani
Chinese
Other Asian Background
Mixed - White & Black Caribbean
Mixed - White & Black African
Mixed - White & Asian
Other Mixed Background
Arab
Other ethnic background
Prefer not to say
Disability Information
Please Select
No disability
Learning disability
Vision Impairment
Hearing Impairment
Physical Impairment
Social/Communication Impairment
Longstanding illness or health condition
Mental Health condition
Other (not listed above)
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Information
Address
*
Street Address
Street Address Line 2
Town/City
County
Postal Code
Have your parents or siblings studied at University?
Yes
No
Don't know
Do you have qualifications beyond A Level or NVQ Level 3?
*
Yes
No
Have you had any experience of being in the care system?
*
Yes
No
Prefer not to say
Are you a carer for a family member or dependent? (A carer is anyone who cares, unpaid for a friend or family member who due to illness, disability, a mental health problem or addiction cannot cope without their support)
*
Yes
No
Prefer not to say
Reaching Wider and/or third parties contracted by Reaching Wider to deliver services would like to publish photographs and films, sometimes with the first names of participants undertaking activities, on their websites, on promotional material and within social media accounts. Please read the following statement and indicate your agreement by ticking the box:
I agree for my family member's photographs and/or film to be used in the way outlined above
Data Protection Statement
The information provided on this form is confidential and will be held on a secure database in accordance with Data Protection Laws. Email reachingwider@southwales.ac.uk for further information. By submitting this form, I also agree to grant Reaching Wider a non-exclusive license to use material created by the project participant during the course of the project for educational and marketing purposes, and other non-commercial activities.
Would you like to receive email communication about Reaching Wider activities?
Yes
No
If yes, would you like to receive it in Welsh?
Yes
No
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Preferred Method of Contact
*
Please Select
Email
Phone
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We will be providing tea, coffee and Welsh cakes throughout the day. Do you have any dietary requirements or allergies?
*
No dietary requirements
Vegan
Gluten free
Other (please see below)
Please provide details of any other dietary requirements, food allergies or intolerances here.
If you have a disability, are there any access requirements, reasonable adjustments or additional support you think you may require as a direct consequence of your disability, e.g. access to a lift, large print handouts, or extra time for assessment?
Do you require assistance with the cost of transportation?
Yes
No
I have already sent you an email
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Session 1 Options: 10am-12pm
*
Session 2 Options: 1pm-3pm
*
Session 3 Options: 3pm-5pm
*
Session 4 Options: 5pm-7pm
*
Submit
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