MRC Laboratory of Molecular Biology Year 12 rotation work experience application form

1. What is your full name?

Name

2. What is your email address?

3. This opportunity is for Year 12 students only.

I confirm I am currently in Year 12 (Required)

4. My parent / guardian has given permission for me to take part in the work experience programme and is happy to be emailed to confirm.

Yes (Required)

5. My parent / guardian’s full name is:

(Required)

6. My parent / guardian’s email address is:

(Required)

7. What are you studying and at what level? (For example - A Levels - Maths, English, Chemistry)

(Required)

8. My current school is:

(Required)

9. My previous school(s) was/were:

(Required)

10. Postcode

(Required)

We are collecting information below to help us to understand who is applying for this opportunity and to make sure that we reach our intended audience as detailed above. Providing this information is completely voluntary.

11. Gender

Woman Man Another gender identity Prefer not to say

12. What is your ethnicity?

Asian or Asian British Bangladeshi Asian or Asian British Indian Asian or Asian British Pakistani Black or Black British African Black or Black British Caribbean Chinese Gypsy or Traveller Irish Traveller Mixed White and Asian Mixed White and Black African Mixed White and Black Caribbean Other Asian background Other Black background Other Ethnic background Other Mixed background Other White background White British White Irish White Scottish Prefer not to say Other

13. My parents’ / guardians’ professions are (tick all that apply):

(Required) Modern professional & traditional professional occupations such as: teacher, nurse, physiotherapist, social worker, musician, police officer (sergeant or above), software designer, accountant, solicitor, medical practitioner, scientist, civil / mechanical engineer. Senior, middle or junior managers or administrators such as: finance manager, chief executive, large business owner, office manager, retail manager, bank manager, restaurant manager, warehouse manager. Clerical and intermediate occupations such as: secretary, personal assistant, call centre agent, clerical worker, nursery nurse. Technical and craft occupations such as: motor mechanic, plumber, printer, electrician, gardener, train driver. Routine, semi-routine manual and service occupations such as: postal worker, machine operative, security guard, caretaker, farm worker, catering assistant, sales assistant, HGV driver, cleaner, porter, packer, labourer, waiter/waitress, bar staff. Long-term unemployed claimed Jobseeker’s Allowance or earlier unemployment benefit for more than a year. Small business owners who employed less than 25 people such as: corner shop owners, small plumbing companies, retail shop owner, single restaurant or cafe owner, taxi owner, garage owner Other such as: retired, I don’t know, I prefer not to say

14. Did either of your parents or guardian attend university and gain a degree (e.g. BA/BSc or equivalent)?

(Required) No, neither of my parents attended university Yes, one or both of my parents attended university Do not know/not sure Prefer not to say

15. Do you personally know someone who is a scientist or who works in research (outside of school)?

If so please explain their relationship to you and describe how they work in science/academia or what their job title is

(Required)

16. If you have taken part in work experience previously, please state company/organisation here:

(Required)

17. We are committed to making this an inclusive experience and open to everyone. Please click here if there is anything we can put in place to make your visit to the LMB easier. We will get in touch to discuss further. This could include things such as adjustments for your needs relating to neurodiversity or other disabilities.

(Required) Yes No

18. Why would you like work experience with MRC LMB / What motivated you to apply?

We would now like to find out more about your scientific interests and motivation.

(Required)

19. What science practical did you most enjoy? Please explain why

(Required)

20. What aspects of science do you find most interesting?

(Required)

21. If known,what are your future career plans or aspirations?

22. How did you hear about this work experience placement?

(Required)

23. Can you provide the contact (name and email) of one of your teachers so we can ask for more information?

We will contact this teacher and ask them to provide a short reference for you. Before you submit the application, please check that your teacher is happy for you to share their contact details for us for this purpose.

(Required)

24. By clicking here, you are committing to attending the full week/s of the work experience programme

Yes (Required)

25. I confirm I commit to travelling to the MRC LMB on each day of the placement, and my journey will be reasonable / enable me to arrive on time (a typical day will be 09:30 – 16:30).

Yes (Required)

26. I consent to LMB’s Public Engagement team contacting me, in relation to my work experience to collect feedback. Please tick below to acknowledge and give us your consent.

The MRC LMB is committed to processing information in accordance with the General Data Protection Regulation (GDPR). The personal data collected on this form will be held securely and will only be used for administrative purposes.

Information

The MRC LMB is a research institute of the Medical Research Council, which is part of United Kingdom Research and Innovation (UKRI) a body corporate pursuant to section 91 of the Higher Education and Research Act 2017.

Your rights

You have the right to request to see a copy of the information we hold about you and to request corrections or deletions of the information that is no longer required. You can ask the MRC LMB to stop using the images of you at any time, in which case it will not be used in future publications but may continue to appear in publications already in circulation.

You have the right to lodge a complaint against the MRC LMB regarding data protection issues with the Information Commissioner’s Office (https://ico.org.uk/concerns/).

Contact details

If you have any questions relating to this consent form or the way we are planning to use your information, please contact us via engage@mrc-lmb.cam.ac.uk.

If you have any questions relating to data protection, please contact our Data Protection Officer via dpo@mrc-lmb.cam.ac.uk.

Yes (Required)

MRC Laboratory of Molecular Biology Year 12 rotation work experience application form

Introduction