Options marked with * are required

Full Name*

Your Email Address*

Contact Telephone Number*

Are you a student, apprentice or engineer?*

Student

Apprentice

Engineer/Retired Engineer

Company*

Areas of Expertise*

Industry*

Are you a member of an institution? If so, which?*

Location(s) Please select up to 3 options*

Scotland

North East

Burnley

Greater Manchester

Central England

London

The South

East England

South West England

South East England

Tees Valley

Kirklees

Sheffield

Jersey

Wales

Merseyside and Cheshire

Lancashire

Cumbria

Northern Ireland

Other

Town/County

Are you a STEM ambassador?*

YesNo

Are you DBS checked?*

YesNo

Do you give us permission to use your name and/or photo in publications?*

YesNo

Are you happy to hear from us about any of the following?*

Primary Engineer

Secondary Engineer

Training Opportunities

Judging

Leaders Award

Invitations to Events

Other

Sign up to our newsletter?*

YesNo

Do you accept our Terms & Conditions*