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Current location: Coventry

Course Rep Application Form

It’s great that you want to sign up to be a course rep at CU London. The information you provide below is really important to us to ensure that we are able to contact you. We share your name, course title and email address with the Student Registry team at CU London. This allows them to send you invitations to Student Voice Forums each teaching block. All other data remains with CUSU CU London. We will contact you in relation to activities relevant to your role and any opportunities we think might interest you as reps such as career development or dedicated rep social activities



Student Email Address (ending in or

Student ID:

Rep Type:

Course Rep
Senior Course Rep

My Picture

Upload your picture here to allow your fellow students to see who their rep is. We will use this image on a dedicated rep webpage at and on materials around the Campus. Select image to upload:


Course Name

Level of Study

Block Start Date

In order to become a course rep you are required to have two nominating students from the CU London community supporting your application. Please insert their name and student ID number in the following boxes.

Nominating Student Name 1

Nominating Student ID 1

Nominating Student Name 2

Nominating Student ID 2


50 and over

Gender E.g. Male/Female/Non-binary etc




By submitting this form you confirm that you have read the Rep Code of Conduct and agree to abide by the content within.