Careers Bulletin

First name:* Required

Last name:* Required

Email:* Required Please Check

Telephone:

Postcode:* Required Please Check

How did you find out about our Placement Service?*
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Why do you want to use this service?*
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Education and Qualifications

What is the highest level of qualification you have achieved (e.g. BSc, BA, MSc)?

What course did you study?

Where did you study?

Diversity Monitoring

Please help us to collect diversity information - this information will be used for monitoring
purposes only to ensure our overall service is benefiting a wide range of people.

How old are you?

Are you? Select Male Female

Do you consider yourself to have a disability?
Select Yes No

How do you describe your ethnic origins?
Select Bangladeshi Black African Black British Black Caribbean Chinese Indian Pakistani Irish White & Asian White British White & Black African White & Black Caribbean White European Other

If other please state:

* I have read and agree to the Sustainability West Midlands Data Protection Policy Required

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