Apply to 2018 Women in Maths Residential Access&Outreach - Women in Maths Residential Step 1 of 2 50% Personal DetailsInformation submitted here will be used sent to your nominating teacher as part of the application process. Information about how your personal information will be used by us in connection with the administration of this event/activity, and for related purposes, is available at http://www.undergraduate.study.cam.ac.uk/how-we-use-participant-data. Please contact firstname.lastname@example.org with any questions in the first instance.Your Name* First Name Surname Your Email* Please ensure this is spelled correctly.Your Date of Birth* Address Street Address Address Line 2 City ZIP / Postal Code Academic DetailsWhat subjects are you studying at A Level (or equivalent)?*GCSEs*Please summarise your GCSE results if you already have them, or your predictions if you are in Year 11Which subject(s) are you thinking of studying at university?Preference 1*Preference 2*Please outline why you would like to attend this residential:*Your School InformationName of School*School Postcode*Your Nominating Teacher* Mr.Mrs.MissMs.Dr.Prof.Rev. Prefix First Last Nominating Teacher's Email Address:* Please ensure this is spelled correctly. Additional InformationLevel of Education of Parent/Guardian 1: Don’t know/prefer not to answer No formal qualifications GCSE/CSE/ O-level A-level /HNC/BTEC Vocational qualification HND/other Higher Education certificate Undergraduate Degree Masters Degree PHD Level of Education of Parent/Guardian 2: Don’t know/prefer not to answer No formal qualifications GCSE/CSE/ O-level A-level /HNC/BTEC Vocational qualification HND/other Higher Education certificate Undergraduate Degree Masters Degree PHD Have you ever been entitled to Free School Meals?YesNoPrefer not to sayDo you have a disability or medical condition which affects your studies?YesNoPrefer not to sayHave you ever been in care?YesNoPrefer not to sayIf there are any other information that you wish disclose, that may have had a negative impact upon your education, please give details here:CAPTCHAEmailThis field is for validation purposes and should be left unchanged.