Introduction to Birmingham Academic

Fields marked with (*) are mandatory
Course Date - 1st Choice

Choose your preferred date.
Title
Name

First name

Last name
Your Job Title
Email
Ext. Number
Staff ID Number
College or Professional Services
School/Area
Employee Group
New Core Budget Code (Segments 3, 4 & 5 required)

Core Code Format (Examples) - Cost Centre (Segment 3): A123, Activity (Segment 4): 12345, Source of funds (Segment 5): 12345 OR Project number: 12345, Task Number: 1.1, Department: department name on account
Line Manager's Name

First name

Last name
Line Manager's E-mail
Line Manager's Phone
Line Manager's Approval
I confirm I have discussed and agreed attending this course with my line manager
Are you a part of the Academic Development Programme?
YesNo
Preferred Contact

If you are a member of staff who does not have regular access to emails or a line-manager booking on behalf of another staff member, please confirm what contact information should be used for course confirmations and joining instructions.
Additional Information/Special Requirements
Consent of Data Submission
By submitting an online booking form and accepting a place on the course, you consent to us holding the submitted data for up to two years for the purposes of bookings and evaluation. If you have any queries about the data we hold, please get in contact via pod@contacts.bham.ac.uk.