PPL Holder Course - Registration Form

Title

(Prof, Dr, Mr, Mrs etc)

First Name

(in full, no abbreviations)

Other name(s)

Surname

Date of Birth

(dd/mm/yyyy)

Department

Address

Phone number

Mobile telephone number

Email address

Invoicing address

If different from correspondence address

Purchase Order Number

Failure to provide a valid order number will delay processing of your application. Your departmental administrator or training director should be able to provide you with this information.

Your Training Requirements

We collect this information to ensure the course meets your requirements.

Role

eg. Group leader, NACWO etc

Name of Supervisor

If applicable

Proficiency in English

In accordance with University Regulations, it is recommended that registrants for whom English is not their first language should have competence in English equivalent or superior to TOEFL 570 or IELTS 6.5. Note that this is slightly lower than the level required for acceptance of graduate students at this University. Note also that The University organises 'English as a Foreign Language' courses.

Species you work with

Rat

Mouse

Guinea Pig

Ferret

Old World Primate

Amphibia

Zebrafish

Other (please specify in comments box)

Briefly describe your field of research

Your level of statistics?

Do you use statistics in your work?

Statistical tests you have used recently

Please state two "hopes" you would like to see fulfilled by this course

Please state two "fears" that you may have about this course

Certificate required?

You will need to complete the written assignment in order to receive a certificate for the PPL Holder Course.

Any other comments

Please let us know your preferred course date.

Name & Email Address of your NTCO or HOLC

If you are applying from outside Oxford University we will contact your current NTCO or HOLC to confirm your identity. If you are an internal applicant please type 'Oxford' only.

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PPL Holder Course - Registration Form

Your Training Requirements

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