Engage Academy 2024: Staff and Contributor webform Copied to clipboard We’re delighted to invite you to join us for Engage Academy 2024We need a few more details from you to help us with our planning for the 7 months course starting this coming January (2024). Data protection consentIn order to receive your application, the NCCPE requires your consent for us to process your personal data. Please see our Privacy Notice for information on how your personal data will be processed. Do you consent to the NCCPE processing your personal data for the following purposes? Questions Yes No Processing your application form for this role (consent is required for us to accept your application) Yes No Sending NCCPE emails to you about public engagement news and events Yes No Taking photographs/screenshots of me at Academy events Yes No Sharing my contact details with other academicians Yes No Your details First name Surname Name as you'd like it to appear on your delegate badge Please let us know if you'd like an alternative name on your badge to the one given above. Preferred Pronouns Email Telephone Online or In-Person Yes I will physically attend in person workshops No I will attend all workshops online In Person Access RequirementsWe are committed to ensuring that our workshops are as accessible as possible, all our venues are fully wheelchair accessible and have allocated accessible parking spaces if required. Please let us know about the requirements you have that will help you fully participate in the in person workshops in the section below. Please list any dietary requirements in the box below