A Celebration of Women in Mathematics 2019
Application form for the Celebration of Women in Mathematics at Bournemouth University, Talbot Campus, Fern Barrow, Poole BH12 5BB on Friday 5th July 2018, 9:45 – 15:00.

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First name of booking contact *
Please give the first name of the person we should contact to confirm this booking and with any other details.
Last name of booking booking contact *
Please give the last name of the person we should contact to confirm this booking and with any other details.
Contact email address for booking *
Please type carefully as we will use this address for all further contact in this regard.
Name of school/college *
Names and email addresses of ALL staff attending *
Teachers may attend without students as part of their professional development if they wish.
Number of student places applied for: *
This can be zero if this application is for professional development purposes. If you find that your student numbers are likely to change by five or more in either direction after this application has been made, please contact Jo Denton jo.denton@amsp.org.uk with details. Applications are initially limited to 15 students per school. Priority will be given to state-funded schools. The number of places allocated to you will be notified by 21st June at the latest.
Further places applied for
If you would like to be allocated additional places above 15 should they remain available on June 21st, please note here how many ADDITIONAL places you would like. Allocation of these will be notified on June 21st.
Please confirm that your school/college has a current registration with the AMSP: *
If not, please register asap at www.amsp.org.uk.
Travel to the venue:
Please let us know brief details of how you intend to arrive at the University. We cannot guarantee parking on the day but will attempt to direct you to where parking may be available.
Notes:
Please add any additional information here.
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