Expression of Interest and Application Form

Salutation (Mr, Mrs, Mx, Ms, Miss, etc)

Your Name

Name of your organisation:

What sector are you in? -- Public Sector Third sector - Charity Third sector - Voluntary or community organisation Third sector - Social enterprise Third sector - Cooperative Third sector - other organisation type Private sector

Organisation address line 1

Organisation address line 2

Organisation address line 3(optional)

Organisation county -- Blaenau Gwent Bridgend Caerphilly Cardiff Carmarthenshire Ceredigion Conwy Denbighshire Flintshire Gwynedd Isle of Anglesey Merthyr Tydfil Monmouthshire Neath Port Talbot Newport Pembrokeshire Powys Rhondda Cynon Taff Swansea Torfaen Vale of Glamorgan Wrexham Other

Postcode

Your Email address

Telephone number

Please create a password (min 8 characters)

Please confirm your password

Thank you for your interest in the CEIC programme. To make sure you are eligible to take part, and to give you the best experience when you do join, we need to collect some information from you. By registering your interest you are consenting to your data being held by the CEIC team. All data collected will be used and stored in line with our Privacy Policy and will comply with GDPR and data protection legislation, and any data used for research purposes will be done so in accordance with Swansea University and Cardiff Metropolitan University Research Integrity and Ethics policies.

I agree to my data being held by the CEIC team