Course Rep Application Form

It’s great that you want to sign up to be a Rep at CU Scarborough. The Rep System is run by Coventry University Students' Union and is in place to give you a voice on your experience at CU Scarborough.

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 Scarborough. This allows them to send you invitations to Student Voice Forums three times a year. All other data remains with CUSU CU Scarborough. 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.

First Name*

Surname*

Student ID Number*

Student Email Address (ending in @coventry.ac.uk or @cusc.coventry.ac.uk)*

Do you have a personal or secondary email?What is your UK mobile/cell number?

Please note by giving us this information you agree to us contacting you about Reps issues via your telephone: Which Rep role are you applying for?*

Course Rep
Senior Course Rep

What are your reasons for applying?*

To improve my CV and employability
To be the voice of other students
To develop skills and experience
To improve my course
To learn about the Reps system
To be more involved with the Students' Union
Opportunity to interact with university staff
No one else wanted to
To get to know other students
Other

Course Title*

Select Course TitleCourse not listedAccess to HE Health and Human SciencesAccess to HE Social SciencesActingAdult NursingApplied PsychologyApprentice CMDAApprentice Digital Technology SolutionsApprentice EngineeringBusiness Management & LeadershipComputing ScienceCounselling: Integrative Theory & PracticeCyber SecurityEarly Childhood Development & LearningElectro-Mechanical EngineeringFoundation BusinessFoundation Health and Social CareFoundation EngineeringHealth & Social CareLaw & PracticeLearning Disabilities NursingMental Health NursingNursing Associate Foundation DegreePolicingProfessional AccountingProfessional PolicingPrimary Education & Teaching StudiesPublic Health & Community StudiesSport & Leisure ManagementTrainee Nursing Associate

Level of Study*

Select Level of StudyYear 1Year 2Year 3AccessFoundationPart TimeTop up

Block Start Date*

Select Block Start DateBlock 1Block 2Block 3Block 4Block 5Block 6

Are you studying?*

Blended i.e. a mix of on-campus and online study
Online Only

Have you been a Course Rep previously?*

Yes
No

Have you been a Senior Course Rep previously?*

Yes
No

Age

18-21
22-25
26-35
36-49
50 and over

How do you define your gender? E.g. Male/Female/Non-binary etc

Are you a?

Home Student
EU Student
International/Overseas Student

Ethnicity