DIVE IN. University Student Nomination Form

Stand out. Accelerate Development. Inspire Ideas. Nominate yourself.

Student Nomination Form for Growth Partnership
Personal Information

Only shared with mentor given permission and all private data is protected.
Full Name

First Name Last Name
Birth Date

Month Day Year
E-mail
Phone Number

Area Code Phone Number
Education Background

Verification that you are an engineering or technology student.
University

University of West England Manchester Metropolitan University Aston University
Degree Title
Graduated

Yes No
Entry date

Month Day Year
Graduation date

Month Day Year
Tell us about you...

Please answer each in about 150 words maximum.
What professional and engineering/technology skills do you have that you are most proud of?
Please include any projects you've taken part in to demonstrate skills.
What are you passionate about?
Please include any activities you've taken part in to demonstrate passions.
How do you think you add to or promote diversity in the engineering and technology industry?
Please include any information you'd like to about your background.
We wish you the best of luck!

Please engage with other opportunities via www.dversty.co.uk & @D_vers_ty
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We wish you the best of luck!