Research application form

Wildwood Research Application Form

Personal information

Your name

Home telephone

Mobile number

Contact email

Home address

Emergency details

Name of emergency contact 1

Contact number for emergency contact 1

Name of emergency contact 2

Contact number for emergency contact 2

Medical conditions

Final write up terms

Wildwood requires a copy of your final write up to use at its discretion and to forward on to BIAZA. Before publishing research findings on any platform, you MUST send a final draft for approval. Please tick to confirm you agree to these terms.

Yes

University/College information

University/college name

University/college address

Level of programme (eg BSc, MSc, HND)

Course title

Name of supervisor

Supervisor's email

Method statement/abstact

Method Statement/Abstract

I confirm and agree that this project has been approved by the university/college ethics committee

Yes

I agree that should you wish to change your current method statement as outlined in this application, it will be agreed in advance with your supervisor and Vicki Breakell from Wildwood Trust

Yes

I agree that dates for data collection are agreed with Vicki Breakell in advance

Yes

I agree that when collecting data at Wildwood, you will sign in at the main entrance to receive a 'reseacher' lanyard which you will wear at all times and return when you sign out

Yes

Consent

I consent to Wildwood collecting and processing information relating to me and my personal data in accordance with the Privacy policy on Wildwood's website.

Yes

Application declaration

I confirm that the information given in this form is true to the best of my knowledge.

Yes

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Consent for storing submitted data

I agree to receive communication from Wildwood Trust