Department of Computer Science, University of Oxford : Computer Science Christ Church

^*Mandatory fields

Student details

^* First Name:

Preferred name:

What are your preferred pronouns?

^* Family Name:

^* Email address:

^*Date of Birth:

^*Home Postcode
(UK Only):

^*Gender:

^*School/College:

^*Which school year group are you in?

Eg Year 11, Year 12, S5

GCSE profile:

What grades do you expect to achieve for GCSE?

x Grade 9

x Grade 8

x Grade 7

x Grade 6

x Grade 5

x Grade 4

x Grade 3

x Grade 2

x Grade 1

^* What grade are you predicted to achieve for GCSE Maths?

If you don't know your predicted grade please talk to your Maths teacher. If you've sat GCSE Maths early and already have your grade please write "achieved" after your grade, in the box.

^* Level 3 Maths qualifications?

For my A Levels/International Baccalaureate/Scottish Highers & Advanced Highers I am taking or planning on taking

A Level Maths but not Further Maths

A Level Maths AND Further Maths

A Level Maths AND AS Level Further Maths

Maths at Scottish Higher but not Advanced Higher level

Maths at Scottish Higher and Advanced Higher level

Higher Level Maths in the International Baccalaureate

Don't know yet

Other

If other please explain in the text box:

^*What is your ethnic group?

^* What do you hope to get out of the programme?

^*Sustained engagement activity

I understand that this is a sustained engagement programme. If I'm selected to take part I fully intend to attend all the sessions over the programme. I understand that if I stop attending regularly my place may be offered to someone else.

^*Online sessions

I understand that during the online sessions I need to be somewhere quiet where I can actively engage with the sessions using a microphone & speakers/headphones.

For parents/guardians

The parent/guardian details provided below will also be your emergency contact.

^* Parent/guardian first name:

^* Parent/guardian family name:

^* Parent/guardian email address:

^* Parent/guardian phone number

^*Permission to attend

I, as the parent/guardian of the above named student, confirm that I give permission for them to attend the sessions offered, should they be accepted onto the programme.

^*Who the event is for

I confirm that the above named student will meet the "who the event is for" requirements detailed above.

Does the student have any allergies, medical conditions, access requirements or do they ordinarily receive any additional support during school, which we should be aware of?

^*Travel

I understand that the final session of the programme will be an in-person event to be held in Oxford

^*Adult to accompany the student to in-person day

I understand that an adult parent/carer needs to accompany the student to the in-person event in Oxford. They will remain responsible for the young person during the visit.

^*Emergency medical treatment

I give permission for any necessary emergency medical treatment to be carried out while my young person is attending the in-person session.

^*Programme mailing list

I understand that successful applicants will be added to an email mailing list so they can receive administrative and logistical updates from the Department of Computer Science and Christ Church College regarding this event series. The student's email address provided above will be used.

Alternative email address

If you would like an alternative email address added to the aforementioned programme mailing list, as well as the student's email given above, please provide it here. For example, you might want updates sent to both student and a parent/carer.

^*Data processing/sharing

I understand that for the purposes of administering this event data provided on this form will be shared between the University of Oxford and its Colleges.

^*Images and videos

Please tick the relevant box below to indicate whether you give approval of the organisers, and trusted third parties to take and use images and videos of the sessions which may include your child, for outreach, fundraising, reporting and media purposes, including on social media.

I give approval for images and videos to be used

I do not give approval for images or videos to be used

HEAT consent?

What is this?

Yes, I give consent for the details of my young person, should they be selected to attend the event series, to be added onto the HEAT Database.

^*Would you like the University of Oxford and its colleges to keep in touch via email?

What is this?

Please tick the relevant box below to indicate whether you would like the University of Oxford and its colleges to keep in touch via email updates on Computer Science-related events, competitions and resources for school-age pupils, prospective students and teachers.

I wish to keep in touch via email updates

I do not wish to keep in touch via email updates

Anything else?

Is there anything else you'd like to tell us, that you think would be useful for us to know whilst considering your application?

Support

The following question will allow us to support your young person to take part in the programme. This will not be used as part of the selection criteria, but is about us enabling the participation of the successful applicants.

^*Travel for the student and carer to the in-person event:

We are able to cover reasonable travel expenses (via public transport) for those who otherwise would not be able to afford to travel to Oxford for the Graduation Day. We are afraid that we are unable to support with any accommodation costs, but an overnight stay will hopefully not be necessary. Please let us know if you would need support with travel costs (closer to the time, we will ask you to let us know the approximate cost by public transport, keep your receipts, and will reimburse you after the event).

We would need support with travel costs, without which we would not be able to participate.

We do not need support with travel costs in order to participate.

How did you hear about this event?

^*Mandatory fields