Yr12 Taster Day Application Form
Mr Chris Staddon -Outreach Officer
School of Physics & Astronomy
University Park
Nottingham
NG7 2RD
(a £10 returnable deposit is required see below)
Tel
+44 (0)115 951 5181
e-mail chris.staddon@nottingham.ac.uk
www.nottingham.ac.uk/physics
Name:
Email:
School (Name and Postcode):
School Year:
Teacher Contact:
Qualifications already attained (with grade):
A level (or equivalent) subjects currently being studied and predicted grade:
Please state in your own words the reason you wish to attend this taster day:
Please state any condition or disability that we should be aware of :
By signing this application form you agree to the following conditions

You will be responsible for own transport to and from the School of Physics and Astronomy 1

You will be responsible for your own lunch
 You will be responsible for your own behaviour
 You will provide a £10 deposit2 with the application which will be returned on your attendance.

Signed
Date:
1. Help with travel expenses is available if needed
2. Please enclose a cheque made payable to “The University of Nottingham”
Please return completed form with £10 deposit to Chris Staddon at the address above