Apply for your place

Your name
  Title  
   
   
Your address
   
   
 
 
 
 
 
Contact details
    *
    *
   
Venue
   
Sector
   
Requirements
Food will include halal or vegetarian options, and prayer facilities will be available at each of our venues.
  Do you have any dietary requirements?  

  If yes, please state  
  Do you require a parking space?  

  Do you have any other requirements or comments?  
   

The information provided above (your name, title, organisation and email address) will be used to compile a list of all participants to be distributed at the workshops.

   
 
Use of personal data

Our policy is to only use the data you supply to us for use in regard to the work of the University of Derby. We do not pass on your data to any other third party under any circumstances.

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