Department of Computer Science, University of Oxford : Royal Institution Master Class

^*Mandatory fields

Student Details

This form should be completed by the student and their parent/carer.

^* First name:

^* Family name:

Preferred name:

What are your preferred pronouns?

^*Date of birth:

^*Home postcode
(UK Only):

^*Gender:

^*Who the event is for

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

^*School/College:

Name of nominating teacher

Would you like to share with the nominating teacher (above)?

Please tick the relevant box below to indicate whether you would like to share the outcome of your application and involvement in the programme with the nominating teacher (above).

I wish to share the outcome of my application and involvement with the nominating teacher

I do not wish to share the outcome of my application and involvement with the nominating teacher

Do you have any previous experience in Computer Science? If so, please describe it briefly.

You won't be disadvantaged if the answer is no!

What do you hope to get out of the programme?

Do you have any allergies, medical conditions, access requirements or receive any additional support during school we should be aware of?

If the answer is no, please state not applicable.

^*To attend all Masterclass sessions

I understand that, if I'm accepted onto this programme, I'm committing to attend all six Masterclass sessions.

^*Sustained engagement activity

I understand that if I sign up for this programme, it's part of a sustained engagement activity, and I intend to participate over the full 3 years, should it be offered.

Parent/Carer Details

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

^* Parent/carer first name:

^* Parent/carer family name:

^*Parent/carer email address:

This will be used as primary contact for the masterclasses

Parent/carer contact phone number

^*Permission to attend

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

^*Programme mailing list

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

Second email address

If you would like a second email address added to the aforementioned programme mailing list, as well as the one given above, please provide it here.

^*Emergency medical treatment

I give permission for any necessary emergency medical treatment to be carried out while my child is attending the masterclasses.

^*Travel

I accept responsibility for my child's travel to and from the venue(s).

I am happy for the details of my son/daughter to be added onto the Heat Database

What is this?

Yes, I am happy for the details of my son/daughter, should they be selected to attend the event series, to be added onto the Heat Database.

^*Share with the Royal Institution

I confirm that I agree for a copy of the data I submit in this form to be shared with the Royal Institution.

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

Please tick the relevant box below to indicate whether you would like the University of Oxford 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

^*Images or videos

Please tick the relevant box below to indicate whether you give approval of the Masterclass organisers, the Royal Institution (Ri) and trusted third parties to take and use images and videos of the Masterclasses which may include my child, for outreach, fundraising, reporting and media purposes, including on social media.

I give approval for images or videos to be used

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

How did you hear about this event?

^*Mandatory fields