Sharing, Reusing and Representing Qualitative Digital Data: An Interactive Training Workshop Tuesday 4th July 2006 Cardiff School of Social Sciences, Glamorgan Building, Cathays Campus. Please complete this form and return to Bethan Charles: Cardiff School of Social Sciences Cardiff University Glamorgan Building King Edward VII Avenue CF10 3WT Wales UK Email: qualiti@cardiff.ac.uk Tel: +44 (0) 29 20 875345 Fax: +44 (0) 29 20 874759 The information provided will be included in our database which is kept in accordance with the Data Protection Act 1998. (Please type or print in BLOCK CAPITALS) Section A – Personal Details Title First name Surname Gender Male Female Address for correspondence Postcode Telephone number Email address Section B – Employment Details (if currently employed) In what type of organisation do you currently work? University/College Research Institute (e.g. NatCen, NFER) Government/other public-sector organisation Private-sector organisation Voluntary-sector organisation Other (including freelance) Name of employer What is your current position? Early Career Researcher (e.g. Research Officer, Research Fellow, Lecturer etc.) Senior Researcher (e.g. Senior Research Officer, Senior Lecturer etc.) Professor/Reader/Head of Unit/Director Other (please specify) 1 Section C – Student Details (for current students) Type of degree which you are registered for First degree Masters degree Doctoral degree Name of degree Whether you are registered full-time or part-time The institution at which you are registered Full-time Part-time Section D – Expertise Disciplinary area of Number: expertise 01 Area Studies (AS) 02 Demography (DEM) 03 Economic and Social History (ESH) 04 Economics (ECON) 05 Education (EDUC) 06 Environmental Planning (PLAN) 07 Human Geography (GEOG) 08 Linguistics (LING) 09 Management and Business Studies (MBS) 10 Political Science and International Studies (POL) 11 Psychology (PSY) 12 Social Anthropology (ANTH) Highest Qualification Bachelors degree Masters degree Doctoral degree None of these 13 Social Policy (SOP) 14 Social Work (SW) 15 Socio-Legal Studies (SLS) 16 Sociology (SOC) 17 Science and Technology Studies (STS) 18 Statistics, Methods and Computing (SMC) Disciplines outside the Social Sciences 19 Arts and Humanities 20 Biological Sciences 21 Engineering and Physical Sciences (includes Astronomy and Particle Physics) 22 Environmental Science 23 Medical Sciences Section G – Disability Related Requirements Do you have any disability which may require special arrangement of facilities (please give details) Section H – Dietary Requirements Do you have any special dietary or other requirements If you would like to be notified of future ESRC events please tick the box Once you have submitted this form you should receive a confirmation email within 7 days. If you do not receive an email please contact qualiti@cardiff.ac.uk . Further details will be forwarded to you once your place has been confirmed. 2