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Workshop booking form

• Please read the booking terms and conditions before completing this form.

Select Workshop

Please select workshop and price which applies to you, taking care to chose whether you wish to include one evening meal at a local restaurant during your workshop. There are no workshops available at present - we apologise for any inconvenience

Your details

Forename: Surname:

Have you attended one of our workshops or purchased or downloaded MLwiN before? Yes No

Gender: select female male

Organisation type: select University/College Research Institute Government/other public sector organisation Private sector Voluntary sector Other (including freelance)

Organisation name:

Your email address:

Your address

Post Code:

What do you consider to be your region? Please select one option.
London
South-East
South-West
East of England
Midlands
North-West
North-East
Wales
Scotland
Northern Ireland
EU (other than UK)
Outside the EU

Telephone:

Job Title/Position: select Junior Researcher (e.g. Research Officer, Research Fellow, Lecturer etc.) Senior Researcher (e.g. Senior Research Officer, Senior Lecturer etc.) Prof/Reader/Head of Unit/Director Student Other (please specify in text box below)

Other - job (if specified 'Other' in box above)

Current students only - complete this section

Type of degree which you are registered for select Masters Bachelors Doctoral degree None of these

Name of degree

Are you registered full-time or part-time? full-time part-time

The institution at which you are registered

Other details - all applicants to complete

Disciplinary area of expertise

Area studies
Demography
Economic and social history
Economics
Education
Environmental planning
Human geography
Linguistics
Management and business studies
Political science and international studies
Psychology
Social anthropology
Social policy
Social work
Socio-legal studies
Sociology
Science and technology studies
Statistics, methods and computing

Disciplines outside the Social Sciences

Arts and humanities
Biological sciences
Engineering and physical sciences (includes astronomy and particle physics)
Environmental science
Medical sciences
Public Health / Epidemiology
Veterinary Science
Other - please state details:

Highest Qualification

Bachelors degree Masters degree Doctoral degree None of these

Other details

Do you have any disability which may require special arrangement of facilities? (if yes, please give details)

vegetarian

Other dietary requirements:

Centre for Multilevel Modelling newsletter: Yes, I would like to receive occasional news items, eg events, workshops, new releases etc from the Centre for Multilevel Modelling via email

How did you learn about this course?
This web site
NCRM web site
Other web site - web address:
Centre for Multilevel Modelling Newsletter
Other Newsletter (eg JISC)
Manager/Colleague/Friend
Search engine
Other - (please specify)

All personal information supplied on this form will be processed in accordance with the Data Protection Act 1998 and used by the University for the purposes of administration and workshop attendee analysis only. Personal information will be passed to the ESRC and NCRM who help subsidise some of the workshops. Personal information will not be routinely disclosed to other third parties.

By submitting this form I confirm that I have read and accept the booking terms and conditions