COSMOS Programme Signup Form - Southern Universities Network

Select school/college(Required)

Please type the name of your school/college(Required)

Name of school/college contact(Required)

Contact email(Required)

Contact phone number(Required)

Name(s) of the school staff member/s that will be present to facilitate our in-person programme(Required)

Select date for whole day session(Required)

Please note we cannot guarantee dates but will be in touch to make arrangements as soon as possible

Select date for session 1(Required)

Please note we cannot guarantee dates but will be in touch to make arrangements as soon as possible

Select date for session 2(Required)

Please note we cannot guarantee dates but will be in touch to make arrangements as soon as possible

Select date for session 3(Required)

Please note we cannot guarantee dates but will be in touch to make arrangements as soon as possible

In total, how many students will be in the workshop/s?(Required)

Suggested cohort sizes: Marginal Gains - 20 students maximum // Enterprise Team Challenge - 1 class (up to 30 students) // Mentoring and Supporting Others - 20-30 students

Are there any student learning needs that we need to be aware of prior to the session?(Required)

Is there anything else that we need to be aware of ahead of the workshop?(Required)

Upon arrival where do we report to and who should we ask?(Required)

Name & Date(Required)