Ask A Research Chemist Booking Form

‘Ask a Research Chemist’ – A super-curricular series for KS5 students

Please use the form below to book a place at one of our Ask A Research Chemist sessions for KS5 students. You should book as an individual student, using a valid school email address.

Please note, places are limited to students from state schools in the UK, Isle of Man and Channel Islands, and where we are oversubscribed we will prioritise places for students who meet our widening participation and access criteria. Further information about this can be found at https://www.ox.ac.uk/about/increasing-access

Your personal information is collected and processed by the University of Oxford for the purpose of your participation in the 'Ask a Research Chemist' series, as detailed in the Privacy Notice.

I consent to the collection and processing of my personal information by the University of Oxford for the purpose of my participation in the 'Ask a Research Chemist' series, as detailed in the Privacy Notice.

Your first name:

Your surname:

The name of your School/College:

Your School/College postcode [Please include spaces, e.g. OX1 3PS, not OX13PS]:

Your School/College's supporting Teacher's name:

Your School/College's supporting Teacher's email address:

Your School/College email address (please note: we will use this email address to correspond with you and to invite you to the Q&A meetings):

In which school year are you?

Your personal email address (if applicable):

Your home postcode [Please include spaces, e.g. OX1 3PS, not OX13PS]:

Your date of birth:

Your gender:

Please provide a contact number we can use, if necessary, before/during/after the Q&A (please note, we will only contact you via this number if there are particular technical difficulties requiring immediate resolution, safeguarding or behavioural concerns or if, at short notice, we are no longer able to provide the Q&A for unforeseen reasons):

Please read the Code of Conduct for this workshop.

I have read and agree to the online Code of Conduct for this workshop.

The University of Oxford’s Higher Education Access Tracker (HEAT) database is used to record information about the University's outreach activities and those who take part in them.

For further information about this database, please see https://www.ox.ac.uk/admissions/undergraduate/increasing-access/heatprivacynotice

I am happy for my details to be added to the University of Oxford’s Higher Education Access Tracker (HEAT) database.

Please indicate here if you would like us to be aware of any disabilities or specific learning difficulties, so that we can make appropriate arrangements, where possible:

2 + 8 = Solve This To Prove You are a Real Person, not a SPAM script.