Become a Student Quality Ambassador

Step 1 of 3

Name*
First Last
Student Number*
University*
Course of Study*
Course Start Date*
DD slash MM slash YYYY
Course Finish Date*
DD slash MM slash YYYY
Student Email*
Personal Email*
Telephone Number*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Term-time Address (if different)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Why do you wish to be included in this project?*

Tutors
Tutor*
First Last
Tutor Email*

Have you attended an information event or welcome meeting?
- Yes
- No
- Unsure
If yes, when did you attend the Information event/ Welcome meeting
MM slash DD slash YYYY
Consent
I agree to be named and appear in photographs and/or video recordings to be taken for Student Quality Ambassador / NHS Health Education England publicity, information and exhibition purposes.
Please upload a JPEG picture for ID Badge*
Max. file size: 32 MB.
SQA Hoody Size required
Would you like a lanyard or badge reel for your ID badge?