Course Rep Registration Form

Course Rep Registration Form
Your Name*

First NameLast Name
Are You a Current Student?*
Student ID Number*
Please enter your University email address (ending @mail.bcu.ac.uk) below and submit the form - we will remove your records from our system.
University Email Address*
This should be your University email address, ending @mail.bcu.ac.uk.
Which faculty are you a part of?*
What is your level of study? *
Please note: the option to submit this form will only appear if the correct information is completed in the fields above.
Should be Empty: