FPL Milton Keynes Hub GCSE Required Practicals

Full name *

Email *

Mobile *

Gender *

Date of Birth *

Role * Select ... Executive Head Head Deputy Head Assistant Head Middle Leader Classroom Teacher Technician

Please select one of the follow options that best describes your role: * Select ... Lead Teacher Specialist teacher of physics Non-specialist teacher of physics Technician

Teacher Reference number (put NA if you do not have one.) *

School Name *

School postcode *

School Unique reference number (if known)

Local Authority 7 Establishment number (LAESTAB) (if known)

Have you previously attended any other Future Physics Leaders (FPL) workshops? * Select ... Yes No

If yes, how many workshops have you attended?

Please provide details of the name and dates of any workshops undertaken if possible:

Additional requirements (access, dietary, etc.):

When you register/apply for a Future Physics Leaders event, your personal data will be collected by the Institute of Physics and shared with the Department for Education (DfE) and the evaluators working on DfE's behalf. Please see the Privacy Notice which sets how your data will be shared and used here.

Where did you hear about this event? Select ... TalkPhysics Twitter IOP Events Email IOP Coach Colleague Other

If "Other" please specify

The information submitted on this form will be used solely to administer your booking, and may be shared with third parties (such as venues) where necessary to fulfil your booking. We take your privacy seriously and are committed to protecting the personal information you share with us. For more details about how we handle your personal information, please see our Privacy Notice.