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Registration form

Register with Pure Potential to be the first to hear about events and opportunities run by us, and the universities and employers we work with. It only takes a few seconds!

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First 2 letters of your postode*
Please provide the first half of your postcode. Eg SW or E1
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First Last
Email*
Enter Email Confirm Email
Student Name*
First Last
Student Gender
Gender*
Mobile number*
Please select your school type from the list below
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When did you / will you start Year 12?
Have you or your family ever been entitled to receive any of the following (tick any which apply):
- 16-19 Bursary
- Free School Meals
- Income Support
- Discretionary Learner Support
- Disability Allowance
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When did / will your child start Year 12?
School / Organisation
Have either of your parents attended university?
Is your child the first generation of your family to go to university?
Pure Potential work in partnership with universities, employers and complementary organisations. Please untick this box if you would prefer not to receive information from our partners directly.
- Keep me updated
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Phone
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