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9
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1
Name
First Name
Last Name
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2
Email
Please use the one linked to your Students' Union account
example@example.com
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3
Student Number
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4
Area of Study/Area of Strength
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5
Gap in knowledge/Weakness
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6
Ethnicity
White (British/Irish)
Mixed/Multiple Ethnicity
Asian
Black/Caribbean
Other
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7
Age
18-25
26-30
31-35
36-40
41-45
46-50
50+
18-25
26-30
31-35
36-40
41-45
46-50
50+
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8
Have you been on University Challenge previously?
YES
NO
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9
Are you currently a student at Birkbeck, studying a course providing credit towards gaining a degree?
YES
NO
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