Registration form for Further and Higher Education Seminar

REGISTRATION FORM FOR the Seminar for Gypsy, Roma and Traveller Staff in Further and Higher Education. 10.45 am-4.00 pm on 21 APRIL 2015 at WADHAM COLLEGE, OXFORD. Please delete as necessary*, fill in all other questions and return by e-mail to thosacton@yahoo.co.uk.
1) Name …………………………………………………………………………………
2) Snail-mail Address ……………………………………………………………………
3) E-mail address …………………………………………………………………….
4) I am a current or recent Gypsy, Roma or Traveller Student or employee in FE or HE: YES / NO*
5) College or University : …………………………………………………….
6) I am: in Further Education/ an undergraduate/ postgraduate/ a recent student/ non-academic staff/ academic staff. *
7) My subject of study or teaching or area of work is:
………………………………………………………………………………………………………….
8) I belong to *
a) The National Union of Students (NUS)
b) The University and College Union (UCU)
c) UNISON
d) Another Union or Professional Association ( Please Specify …………………………………………..)

9) Ethnicity: Within the range of Gypsy, Traveller and Roma groups, I would prefer to identify myself as:

……………………………………………………………………………………………… (use wording YOU are happy with)

10) Current phone numbers ………………………………………………………………………………………….

11) I am a current student and would like to apply for Travel expenses, which will be………………………
Please give details of cheapest travel method, by public transport or actual cost of petrol.

12) I am a current student and would be unable to attend without overnight accommodation ………………
(Please tell us why this is so and give details.)