Out-of-School Programme
Registration Form
Staff-facing registration form
This version of the form is for inputting data from a paper registration form. If that's not what you're doing, please go back and check you've used the correct link. Please get in touch with the data and impact team if you have any problems!
Which
Into
University centre does your child attend?
Programme details
Programme registering for: [ss1/2] with [IU centre] starting on [date started]
Additional programme details: [IU staff add these to strand]
Permissions
By completing this registration form you are confirming that you have read the information about the programme and give your consent for your child to attend this programme with
Into
University.
If a registration form has not been completed for your child, we will contact your child's school to confirm that you do not give permission for them to attend the programme.
Pick up arrangements
I give permission for my child to leave XXX on their own
Please select...
Yes
No
Please give the names of people allowed to collect your child
Data Protection
Please make sure you have read our data protection guidance
here
which explains why we collect the data in this form and how we use it. If you can't view the guide online, please ask a member of IntoUniversity staff for a copy.
You can also find our full privacy policy online at
https://intouniversity.org/privacy-policy/
Staff member entering data?
Please select...
Yes
Display pickup questions?
Additional programme information
Programme registering for:
StrandId
NoSchool?
Staff-facing AS registration form
This version of the form is for inputting data from a paper registration form. If that's not what you're doing, please go back and check you've used the correct link. Please get in touch with the data and impact team if you have any problems!
Basic Information
Child's first name
Child's Surname
Child's date of birth (please use date format
DD/MM/YYYY
)
Child's gender
Please select...
Male
Female
Prefer to self-describe
Prefer not to say
Self-described gender
Child's ethnicity
Please select...
Asian/Asian British
Black/African/Caribbean/Black British
Mixed/Multiple Ethnic Groups
White
Any other ethnic group
Prefer to self describe
Prefer not to say
Self-described ethnicity
School Information
Child's school (start typing to search)
If you can't find your child's school in the list, just type in the name instead
Child's year group
Please select...
2
3
4
5
6
7
8
9
10
11
12
13
P3
P4
P5
P6
P7
S1
S2
S3
S4
S5
S6
Address
Child's address line 1
Child's address line 2
Child's postcode
Child's Contact Details
Child's home phone
Child's mobile number (over 13s only)
Child's email (over 13s only)
Criteria
The following questions help us identify children who are eligible for other
Into
University programmes. They do not affect your child's eligibility for this programme.
Please tick all that apply
Does your household receive Universal Credit?
Is your child eligible for Free School Meals?
Is your household income less than £30,000?
Neither of your child's parents have studied at university in the UK
Is your child a refugee or asylum seeker?
Has your child ever been permanently excluded from school?
Has your child been placed on a behaviour plan in the last 6 months?
Is your child Care Experienced?
Your family lives in Social Housing
Is your child a young carer?
Has your child ever been suspended from school?
Is a language other than English spoken at home?
Is your child an unaccompanied minor?
Does your child have Special Educational Needs? (England only)
Is your child eligible for Education Maintenance Allowance/EMA? (Scotland only)
Does your child have Additional Support Needs? (Scotland only)
Participated in FOCUS West or LEAPS Programme at school (Scotland only)
I give permission for my child to be photographed and/or filmed and for the photographs and/or film of my child to be used for the promotion of
Into
University, including on its website
Please select...
Yes
No
My child and I give permission for my child to be photographed and/or filmed, and for photographs and/or film of my child to be used for the promotion of IntoUniversity, including on its website. My child and I understand that the photographs and/or film may be shared with third-party organisations or used on social media for promotional purposes, and we consent to this use.
Please select...
Yes
No
Health and Safety Information
Staff-facing registration form
This version of the form is for inputting data from a paper registration form. If that's not what you're doing, please go back and check you've used the correct link. Please get in touch with the data and impact team if you have any problems!
Main Contact
This is usually a parent or guardian – the first person we would contact in an emergency.
Main contact's name
Main contact's relationship to child
Does main contact have parental responsibility?
Please select...
Yes
No
Please ask an IU staff member if unsure what this question is asking
Main contact's mobile number
Main contact's home phone
Main contact's email
Second Contact
The second contact is usually a second parent or guardian, close relative or friend - if we can't get hold of the main contact, we will call the second contact.
Second contact's name
Second contact's relationship to child
Does second contact have parental responsibility?
Please select...
Yes
No
Please ask an IU staff member if unsure what this question is asking
Second contact's mobile number
Medical Information
Does your child have any medical conditions, dietary requirements, allergies or health needs? Or do they require medication?
Please select...
Yes
No
If yes, please give additional information
Does your child need any medication while at
Into
University?
Please select...
Yes
No
Thanks for letting us know. For programmes run with your child’s school, we will speak to them to ensure your child has the medication and support needed during the trip. For other programmes, we will contact you for more detail.
Does your child have any needs (learning, access, physical, emotional, social or behavioural) which it is helpful for us to know about? If yes, please explain here:
Confirmation
Your Name
Your relationship to child
I confirm that the information provided in this form is correct
Yes
Important: if your child's contact details, medical information, learning needs, or travel arrangements change from what's recorded on this form, please inform IntoUniversity staff.
Thank you
Thank you for filling in this form.
Please click submit below to send the completed form to IntoUniversity.
Contact Information
Out-of-School Programme