Staff Fellowship Registration Form - University of Bradford

Bradford: Staff Fellowship Registration Form

IMPORTANT: Download 'Statement of Support' form via Sharepoint, ask your Line Manager to read and sign it and submit to BradFellows@bradford.ac.uk at the same time as you submit this registration form. Your registration will not be confirmed until we receive the signed statement of support.

✎ Your Personal Details

First Name *

Last Name *

Please note: When using the online registration forms, please use your university username with @bradford.ac.uk appended (for example, jrblogg2@bradford.ac.uk), and not your email address. If you continue to experience problems registering for the Scheme, please contact a member of the Admin Team on 01274 238523 or email BradFellows@Bradford.ac.uk and the Team will resolve any issues.

Email Address * ( Already registered? Click to login )

Confirm Email Address *

Mobile Phone

Job Title *

Staff ID 900 Number

Faculty/Directorate *

School *

Contract Type *

Contract End Date *

How long have you been working in Higher Education for? *

Please identify countries you have worked in and dates of your employment in each. *

When did you start at the University of Bradford? *

Give brief information about your main role and responsibilities in your current post. *

✎ Pathway Details

Fellowships Pathway Start *

Pathway Choice *

Do you currently hold any category of Fellowship (Please select if appropriate)

Manager support registration *

Name of line manager/supervisor *

Email address of line manager/supervisor *

Any further information?

The details you provide will be recorded in our database and only used to provide you with information regarding the Bradford Fellowship Scheme. Your personal data will be held securely and processed in accordance with the General Data Protection Regulations.

I agree to the University processing my personal data as described*

Ways we can contact you

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Phone

Bradford: Staff Fellowship Registration Form

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