WIE New Fellows Application - Stage 1

Apply to become a WIE Fellow

1- About you

First Name *

Last Name *

Email Address *

University ID *

Job Title *

Which of the following best describes your role? *

Department *

Faculty *

2 - Equality and Diversity Monitoring

We are asking for this data to help us understand how different demographic groups at the university are involved with public engagement – providing it is entirely optional.

How would you define your career stage?

Do you consider yourself to have a disability?

What gender do you identify as?

What is your ethnicity?

What is your sexual orientation?

3 - Communication Preferences

WIE will use your email address to communicate with you in relation to your application. If you are successful we will also use this to email you about meetings and WIE activities.

Please select the checkbox below if you want to sign up to our mailing list and stay up to date with all WIE events, funds, training and opportunities.

Ways we can contact you

I'd like to receive updates via email

WIE EDI Privacy Notice

The data provided by you in this form will be used to contact you in relation to your application. Relevant data may also be shared with those involved in scoring applications. Your data will be stored by the Warwick Institute of Engagement team for monitoring and reporting purposes. You can ask to have your data removed from this database at any time by contacting wie@warwick.ac.uk.

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. Please submit any data subject rights requests to infocompliance@warwick.ac.uk or address any complaints or suspected breaches to the University's Data Protection Officer at DPO@warwick.ac.uk.

I accept the use of my data*

When you press 'submit' below, you will be re-directed to the WIE website where you can complete the second stage of your application

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University of Warwick, Coventry, CV4 7AL, UK

www.warwick.ac.uk

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Apply to become a WIE Fellow

1- About you

2 - Equality and Diversity Monitoring

3 - Communication Preferences

Ways we can contact you

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