Outreach Evaluation Form 2026

Queen Mary University of London (QMUL) monitors and evaluates our outreach activities to support students in making informed decisions about Higher Education. Your participation helps us ensure our programs have a positive impact. While providing your details is optional, it would be greatly appreciated as it enables us to continue offering activities like this one.

If you would like more information on how your data is used, stored, and how you can access it, please email wp-dataprotection@qmul.ac.uk.

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Submitted Date

School/College

Response ID

Allow Registrations

Year_8_9_10_11_12 ?

Event Information

Event Name

Registration Closed

Registration for this activity is currently closed. Please contact outreach-programmes@qmul.ac.uk for further information.

Parental Consent

Information for Parents and Guardians

As your child is taking part in a Queen Mary University of London outreach activity, we want to ensure that you are aware of how we collect and use information about their background, circumstances and educational journey.
Please read the information below, which explains why we collect this information, how it supports our outreach activities and how it may be shared with trusted partners.

How We Use Your Information

To help us evaluate the long-term impact of our activities and fulfil our regulatory requirements, we would appreciate your child’s support in providing additional information. This data will be used for research and evaluation purposes and may be shared with trusted partners, such as the Higher Education Access Tracker (HEAT), the Universities and Colleges Admissions Service (UCAS), and the Higher Education Statistics Agency (HESA).

Providing this information helps us assess whether our activities are reaching underrepresented groups and supporting students in accessing and succeeding in Higher Education.

We also ask questions to help us understand students’ backgrounds and identify opportunities to provide appropriate support during their journey into Higher Education. Responses are handled securely, and students can select ‘Prefer not to say’ if they do not wish to disclose particular information. If a student indicates that they may benefit from additional support, our team may contact them, where appropriate and where they have agreed to be contacted, to discuss available opportunities.

You can find full details about how personal data is used, stored and protected, including information about individual rights, in our Data Protection Notice for Outreach Activities

I confirm that I have read, or have been given the opportunity to read, the information above and the Data Protection Notice for Outreach Activities.

Parent/Carer Name:

Student Personal Information

First Name

Last Name

Your Home Post Code

School/College

Please type in the name of your school for simpler search

When do you expect to enter University

Consent Statement

To help us evaluate the long-term impact of our activities and fulfill our regulatory requirements, we would appreciate your support in providing additional information. This data will only be used for research and evaluation purposes and shared with trusted partners, such as the Higher Education Access Tracker (HEAT), the Universities and Colleges Admissions Service (UCAS), and the Higher Education Statistics Agency (HESA).

Providing this information helps us assess whether our activities are reaching underrepresented groups and supporting students in accessing and succeeding in Higher Education.

We also ask the following questions to ensure we can provide the right support during your journey into Higher Education. Your answers are confidential and stored securely. You can choose ‘Prefer not to say’ if you do not wish to disclose. If you select “Yes” to any category, our team may contact you (if you consent) to offer specific support available to you.

You can find full details on how your data will be used, stored, and your rights by visiting our Data Protection notice for outreach activities.

Student Eligibility and Additional Information

Date of Birth

Gender

How would you describe your ethnicity?

By responding to this question you are giving explicit consent for this special category personal data to be used as described in the data protection notice above.

If you go to the university would you be the first generation in your family to go to university?

This means neither of your parents went to a university and achieved a degree, but your siblings might have

Do you currently/have you ever received free school meals or been entitled to the 16-19 bursary?

Do you have an impairment, health condition or learning difference that has a substantial or long-term impact on your ability to carry out day-to-day activities?

YesNoPrefer not to say

Please select all the following that apply to you

How can we support you? In the box below, please tell us if there are any support or adjustments we can provide in relation to your impairment, condition or identity.

For example, do you need: - Materials in accessible formats? - Any additional equipment? - People to communicate with you in a certain way, or with a BSL translator? Not sure? Use the box to ask for further advice.

Are you currently, or have you previously, lived in local authority care, been permanently estranged from both parents, or had caring responsibilities?

YesNoPrefer not to say

Please select all the following that apply to you

Care Leaver: A young person who has been looked after for at least 13 weeks since the age of 14 - Children (Leaving Care) Act 2000. Care Experienced: This term refers to anyone who has been, or is currently, in care. This care may have been provided in many different settings, including living with foster carers; living in a residential children's home; being looked after at home under a supervision order; living with friends or relatives in kinship care. Estranged: Estranged students are those aged 18 to 24 who are not communicating with either of their parents due to an irreconcilable breakdown in the relationship with them. Caring Responsibility: A student (up to the age of 25) who provides unpaid care to a family member or friend who could not cope without your support. This may be due to illness, disability, a mental health issue, or substance misuse.

Evaluation Statements

For each of the statements below please indicate the extent to which you agree or disagree:

Response options: 1: Strongly disagree, 2: Disagree, 3: Neither agree nor disagree, 4: Agree; 5: Strongly

The following statements relate to how you feel about studying at university from an academic perspective.

	Strongly Agree	Agree	Somewhat Agree	Neither	Somewhat Disagree	Disagree	Strongly Disagree
1. I am confident that I can get the exam results required to progress to university.
2. I have the academic ability to do well at university.
3. I could manage with the level of study required at university.

This question is about whether you’re thinking about going to university. There is no right or wrong answer, the important thing is to respond honestly about what you think

The following statements are about what you know and how you feel about going to university

	Strongly Agree	Agree	Somewhat Agree	Neither	Somewhat Disagree	Disagree	Strongly Disagree
5.I know what studying at university would be like.
6. I know how studying at university is different from studying in school or at college
7. I believe that if I apply to university, I will get a place.

The following statements relate to how you might feel about becoming a student at university.

	Strongly Agree	Agree	Somewhat Agree	Neither	Somewhat Disagree	Disagree	Strongly Disagree
8. University is for people like me
9. I would fit in well academically with others at university.
10. I would fit in well socially with others at university.

The following statements are about how you study. Please think about how you go about learning and studying generally.

	Strongly Agree	Agree	Somewhat Agree	Neither	Somewhat Disagree	Disagree	Strongly Disagree
11. I can tell which information is most important when I study.
12. I can tell how reliable information is when I read something.
13. I can clearly explain my ideas, even when writing about complicated things.
14. I can confidently explain my ideas when talking to others.

Your Goals for the Activity

Here we want to find out more about what you're hoping to gain from the activity alongside anything in particular you're hoping to have answered or find out more about.

What are you hoping to learn or gain from the activity?

Please share some questions you would like to have answered. Please list as many questions as you have. These will help us to ensure we're covering relevant content and answering your questions.

Feedback

What part of this activity did you find most useful or interesting?

Has your level of confidence with anything changed, compared with before the activity?

Is there anything you would change about the activity or recommend for future students?

Privacy and Preferences

Queen Mary University of London complies with relevant data protection legislation and subsequent regulations including the Privacy and Electronic Communications Regulations. All information from this form will be held and processed in accordance with our privacy notice.

We would also like to contact you in the future with information that is relevant to your interests such as event invitations, newsletters and other updates tailored to you.

Communication preferences

You will retain the right to opt-out of future correspondence at any point.

Contact Information