3D Creativity: Real & Virtual Justin Magee, Snr. Lecturer, School of Creative Arts

The following information is to assess your interest in: Industrial Placement (DIS: work in industry) Business Education Initiative (BEI: Business related college in USA) or Study abroad (DAS: Self funded Design College in Auburn or Savannah USA) This initial information is to enable me to assess the Industrial contacts to be pursued.�

Name: *

Reg No: *

Course Specialism:

Home Address:

Postcode:

Telephone. No.:

Term Address:

Telephone. No:

Postcode:

Do you wish to be considered for the DIS Placement Programme?: *

Yes

No

Do you wish to be considered for the BEI Programme?: *

Yes

No

Do you wish to be considered for the DAS Programme?: *

Yes

No

Please indicate where you would wish the Placement or Work Experience to be located,: *

Local

U.K.

Republic of Ireland

Other

If other please enter below: