REACT Engineering Limited - Into Engineering Form

REACT Engineering's

11th Annual Seminar

for Year 12 students

6 - 10th July 2009

REACT Enginneering
Fleswick Court
Westlakes Science & Tech Park
Moor Row
Cumbria
CA24 3HZ
Tel: 01946 590511
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Section 1 - Student Information


Full Name *

Address *

Postcode *

Telephone *

Mobile *

Email *


Section 2 - School Information


Name of School *

School Contact (for reference) *

Telephone *

Fax

Email


Section 3 - Questionnaire


Are you interested in an engineering career? *	Yes No

If yes please specify which engineering discipline you intend to study i.e. mechanical, civil, chemical

At which university do you intent to study?

Which region(s) are you interested in working after graduation?	Cumbia NW NE Midland SW Scotland Abroad

Please indicate which subjects are covered at A Level

Physics *	Yes No

Maths *	Yes No

Others, please state


Are you aware of the following:-


The REACT Foundation	Yes No

IMechE	Yes No

Year in Industry	Yes No

Tick the box if you would like further information on	The REACT Foundation IMechE Year in Industry


Section 4 - Engineering Careers


Why do you want to be an engineer? *

What do you think a 'professional engineer does?' *


Section 5 - REACT


Where did you find out about REACT Engineering? *

Do you know anyone who has attented our seminar in the past? If so please state their name(s)


Section 6 - Any Other Information


Addition Information

Please tick here if you do not wish us to contact you about other REACT Opportunities	Please do not contact me