Undergraduate

Type of open day:
Department/faculty open day
College open day
Cambridge Open Day
FE or mature open day
GEEMA Taster Day
other (please state):

If attending a Department/faculty open day, please state the subject:

If attending a College open day, please state the College:

Date of open day:

How do you intend to travel?
Train
Bus/Coach
Driving myself
Lift in someone else's vehicle
other (please state):

If travelling by train, where is your most convenient station to depart from?

Do you have a valid Young Person's Railcard?
Yes
No

I am...
the applicant
a carer/support worker applying on behalf of the applicant
a carer/support worker applying on behalf of a group of applicants (please fill out a separate form for each individual)
other (please state):

Your UK Local Authority:

Your school:

Applicant's full name:

Applicant's home address:

Address line 1:

Address line 2:

Address line 3:

Town / City:

County:

Postcode:

Applicant's home telephone number:

Applicant's mobile number:

Applicant's email address:

Applicant's date of birth:

You must provide the name of an adult who can confirm you are/have been in care, and also state their position/role.

Full name of referee adult:

Position/role of referee adult:
Carer
Social Worker
Teacher
other (please state):

Telephone number of referee adult:

Email address of referee adult:

Data protection
The data you give on this form will be treated with great care. It will be processed and held by the University of Cambridge for the purpose of this application and sending you information about the University. It will always be safeguarded under the terms of the Data Protection Act 1998. We may also pass your data to a third party (such as UCAS) in order to track applications to Higher Education. The tracking information gathered would solely be used to provide statistics to the University of Cambridge for evaluating the impact of its events.

If you are under 16, please ensure that your parent/carer has also seen this information. If you/they wish to find out more about this monitoring please contact us at: dataprotection@cao.cam.ac.uk.

Declaration
By submitting this form I confirm that the information given on this form is true, complete and accurate and no information requested or othermaterial information has been omitted.