Smallpeice Trust

Engineering Experience (Virtual)

*indicates mandatory fields

first name* Student names entered here will be used on all correspondence and will be printed on certificates, name badges etc., so please ensure it is the student's preferred name.

last name*

Date of Birth*

Gender*

Male Female Non-Binary

Post Code

Find address

Please select your address from below

Address Line 1*

Address Line 2

Address Line 3

Town*

County*

Country*

Nationality*

Ethnicity

Student Email*

Login details and key information may be sent to this email address so please make sure the student has access to it. Please DO NOT use school email addresses as we often find school email filters do not let our emails through. If the student doesn’t currently have a personal email address, one can be created quickly via Gmail or Outlook.

Mobile Number*

Home Number (Optional)

Heard About Event*

If you’re applying for a sponsored place, please enter your code here

Parent/Guardian Title*

first name*

last name*

Is your parent/guardian living at the same address?

Yes No

Post Code

Find address

Please select your address from below

Address Line 1*

Address Line 2

Address Line 3

Town*

County*

Country*

Parent/Guardian Email*

This must be different from the student email address

Mobile Number*

Home Number (Optional)

Are you Homeschooled?

Yes No

School Name*

School name not listed

Other School Name

Post Code

Find address

Please select your address from below

Address Line 1*

Address Line 2

Address Line 3

Town*

County*

Country*

Teacher Title*

Teacher's first name

Teacher's last name*

Teacher's Email*

Book this course

Next Step