Journey to Higher Education Webinars
Attendee's information
First Name
Last Name
Email
Please select your role
Please select...
Student
Parent/Carer
Teacher/Advisor
Date of Birth (DD/MM/YY)
Gender
Please select...
Female
Male
Other
Ethnicity
Please select...
Arabic
Asian or Asian British – Bangladeshi
Asian or Asian British – Indian
Asian or Asian British – Pakistani
Other Asian Background
Black or Black British – African
Black or Black British – Caribbean
Other Black Background
Chinese
Gypsy or Traveller
Hispanic or Latino
Irish Traveller
Mixed – White and Asian
Mixed – White and Black African
Mixed – White and Black Caribbean
Other Mixed Background
Other Ethnic Background
White
White – British
White – Irish
White – Scottish
Other White Background
Prefer not to say
Anticipated Year of Entry
Please select...
2025
2026
2027
2028
Subject of Interest
Please select...
Biological and biomedical sciences
Business and management
Chemical sciences
Comparative literature
Computer science
Dentistry
Drama
Economics and finance
Engineering
English
FIlm Studies
Geography and environmental science
History
Languages and cultures
Law
Liberal Arts
Linguistics
Materials Science
Mathematical sciences
Medicine
Physics and astronomy
Politics and international relations
Psychology
Sociology
Electronic and Electrical Engineering
Country
Please select...
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos ( Keeling ) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Côte d ' Ivoire
Croatia ( Hrvatska )
Cuba
Cyprus
Czech Republic
Congo ( DRC )
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands ( Islas Malvinas )
Faroe Islands
Fiji Islands
Finland
France
French Guiana
French Polynesia
French Southern and Antarctic Lands
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Honduras
Hong Kong SAR
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR
Macedonia, Former Yugoslav Republic of
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé and Prìncipe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
Spain
Sri Lanka
St. Helena
St. Kitts and Nevis
St. Lucia
St. Pierre and Miquelon
St. Vincent and the Grenadines
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
United States Minor Outlying Islands
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Viet Nam
Virgin Islands ( British )
Virgin Islands
Wallis and Futuna
Yemen
Zambia
Zimbabwe
Home Postcode
Country Code
Please select...
93
355
213
684
376
244
264
672
268
54
374
297
61
43
994
242
973
880
246
375
32
501
229
441
975
591
387
267
55
673
359
226
257
855
237
1
238
345
236
235
56
86
53
57
269
243
242
682
506
225
385
357
420
45
253
767
809
670
593
20
503
240
291
372
251
500
298
679
358
33
594
689
241
220
995
49
233
350
30
299
473
590
671
502
224
245
592
509
504
852
36
354
91
62
98
964
353
972
39
876
81
962
7
254
686
850
82
965
996
856
371
961
266
231
218
423
370
352
853
389
261
265
60
960
223
356
692
596
222
230
52
691
373
377
976
664
212
258
95
264
674
977
31
599
687
64
505
227
234
683
670
47
968
92
680
970
507
675
595
51
63
48
351
787
974
262
40
250
290
869
758
508
784
685
378
239
966
221
248
232
65
421
386
677
252
27
34
94
249
597
268
46
41
963
886
992
255
66
690
676
868
216
90
993
649
688
256
380
971
44
598
998
678
418
58
84
284
340
681
967
260
263
829
939
Telephone
Please let us know which year group your child is in
Please select...
Year 11
Year 12
Year 13
Please tell us your year group
Please select...
Year 9
Year 10
Year 11
Year 12
Year 13
Graduate
Mature Student
Please choose your school/college -
If not listed, please select the 'Other Institution' option
Please select which webinar(s) you would like to attend
Please select which webinar(s) you would like to attend
Please select which webinar(s) you would like to attend
Please select which webinar(s) you would like to attend
Please select which webinar(s) you would like to attend
Please select which webinar(s) you would like to attend
Please select which webinar(s) you would like to attend
Queen Mary University of London consent statement
Queen Mary University of London complies with relevant data protection legislation and subsequent regulations including the Privacy and Electronic Communications Regulations. We ask you to provide this information in order to fulfil your request, determine subject interests, manage resource levels required at our events, monitor application numbers and marketing effectiveness, and to send relevant communications. If you consent we will use your preferred method of communication to contact you in the future about Queen Mary. You will retain the right to opt-out of future correspondence at any point. All information will be held and processed in accordance with
our privacy notice.
Please check this box if you consent
If you experience any issues while completing this form please
contact us
Country of Residence
School ID
Child Campaign ID
Child Campaign ID 2
Child Campaign ID 3
Child Campaign ID 4
Child Campaign ID 5
Child Campaign ID 6
Child Campaign ID 7
Year
UTM Content
UTM Term
UTM Medium
UTM Source
UTM Campaign Name
Contact Information