Register of interest form

* Prioritise 3 areas of work within industry that you would like to focus on:

* Please tick this box to confirm that your Director and Senior management team are aware of this application

After submitting this form please email Maggie Robinson with a supporting statement from your line manager.

This should focus on:

- How will this Lecturers into Industry placement activity support your college development plan?
- How will the proposed activity benefit your department in general?
- How do you anticipate supporting the member of staff, before, during and after the placement?

You cannot Save this form but after you submit it an electronic copy will be sent to you (which you can print).