Campus Tour 13th January 2016
default
Caution: JavaScript execution is disabled in your browser. You may not be able to answer all questions in this survey. Please, verify your browser parameters.
Please complete all fields on the booking form to book a place on a campus tour.
A note on privacy
This survey is confidential.
The record of your survey responses does not contain any identifying information about you, unless a specific survey question explicitly asked for it. If you used an identifying token to access this survey, please rest assured that this token will not be stored together with your responses. It is managed in a separate database and will only be updated to indicate whether you did (or did not) complete this survey. There is no way of matching identification tokens with survey responses.
Title
Mr
Mrs
Ms
Miss
*
Surname
Your answer
*
First name
Your answer
Please enter your date of birth
Date in the format: dd.mm.yyyy
1900-01-01
2037-12-31
Format: dd.mm.yyyy
*
Email address (please ensure that you enter this correctly)
Your answer
*
Contact telephone number (preferably mobile)
Only numbers may be entered in this field.
Your answer
*
Please enter your full postal address, including postcode
Your answer
*
Please indicate which campus tour you would like to attend
Wednesday 13th January 2016
*
Number of guests
0
1
*
Which course are you interested in?
Please note that the Midwifery, Nursing and Social Work programmes are awarded by Kingston University and are therefore not covered on our campus tours.
Biomedical Science BSc (Hons)
Healthcare Science (Physiological Sciences) BSc (Hons)
Medicine (four year graduate stream) MBBS4
Medicine (five year) MBBS5
Paramedic Science Foundation Degree
Physiotherapy BSc (Hons)
Radiography, Diagnostic BSc (Hons)
Radiography, Therapeutic Bsc (Hons)
*
Do you have any additional requirements e.g. disability support?
Yes
No
If yes, please provide us with details
Your answer
*
Would you like to stay on our mailing list?
This is to receive other relevant information. All data will be securely held and used by St George's, University of London in accordance with the Data Protection Act 1998. It will not be passed to third parties.
Yes
No
How did you hear about St George's?
Your answer
Please indicate which school or college you currently attend. If you are not currently attending a school or college please leave blank.
Your answer
Submit
Exit and clear survey
Are you sure you want to clear all your responses?
Load unfinished survey
Resume later