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GO Wales expression of interest form

Thanks for expressing an interest in GO Wales

GO Wales is financed by Medr the Commission for Tertiary Education and Research (Y Comisiwn Addysg Drydyddol ac Ymchwil), and supports students and graduates to develop their confidence and refine their employability skills through one-to-one support.

Thanks for expressing an interest in GO Wales. Please provide your contact details below and complete this expression of interest form to help inform us how we could support you.

All personal data provided on this form will be handled in accordance with Data Protection principles. The information you provide will only be used to facilitate us contacting you regarding GO Wales and relevant student support and will not be used for any other purpose. It will be shared with a limited number of organisations such as Medr the Commission for Tertiary Education and Research in line with statutory reporting requirements. By submitting this form, you agree to the processing of your data for the purposes outlined above.

All information will be stored securely by the Open University in Wales and will only be accessed by a limited number of staff in the University. For full details of how The Open University in Wales will use your personal information, and your rights please see below the Open University's Employability, Internship and Work Placement Scheme.

Contact details

What is your preferred language?
Welsh
English

EDUCATION AND EMPLOYMENT

Are you currently studying with The Open University in Wales?
Yes
No

WIDENING PARTICIPATION

In order for you to receive support from go wALES, we are required to collect this information from you. For more information on how we will store your personal information please see link below for the open University's Employability, Internship and Work Placement Scheme.

Open University Employability, Internship and Work Placement Scheme

Do you have a disability?
Yes
No
Prefer not to say

Do you have challenges in relation to your mental health?
Yes
No
Prefer not to say

Would you describe yourself as neurodiverse (for example, autism, dyslexia, dyspraxia, attention deficit hyperactivity disorder (ADHD)
Yes
No
Prefer not to say

Do you consider yourself to have a work-limiting health condition?
Yes
No
Prefer not to say

Are you estranged from your family?
Yes
No
Prefer not to say

Are you care experienced?
Yes
No
Prefer not to say

Would you describe yourself being from a Black, Asian or minority ethnic background?
Yes
No
Prefer not to say

Do you consider yourself to be from a religious minority in Wales?
Yes
No
Prefer not to say

Do you have caring responsibilities including parental responsibilities?
Yes
No
Prefer not to say

Are you a refugee or asylum seeker?
Yes
No
Prefer not to say

Do you live in a low Higher Education participation neighbourhood?
Yes
No
Prefer not to say

Please use this link to check:

Office for Students search by postcode

Are you from an area of deprivation (i.e. the bottom two quintiles of the Welsh Index of Multiple Deprivation (WIMD))
Yes
No
Prefer not to say

Are you from a low income family?
Yes
No
Prefer not to say

Individuals are defined as living on a low income if their net household income is below 60% of the median income of the UK population. The median weekly household income in the UK is £476 after housing costs, and 60% of this is around £286.

Are you the first in your family to attend university?
Yes
No
Prefer not to say

Do you identify as LGBTQ+?
Yes
No
Prefer not to say

Are you a veteran?
Yes
No
Prefer not to say

Are you from a Gypsy or Traveller background?
Yes
No
Prefer not to say

SUPPORT

What type of support would you want from GO Wales/The Open University in Wales? Please choose up to 3 of the following:

OCCUPATIONAL STATUS

Which of the following statements best describes your current occupational status? Please select one response:
In full-time work*
In part-time work*
In self-employment (full or part-time)*
Undertaking an internship or placement
Doing unpaid voluntary work
Looking after home/family
Retired from paid work
Unable to work due to long-term sickness or disability
Unemployed
Not in employment for another reason

*If employed, do you feel you are underemployed i.e., not doing a job related to your skills or the qualifications you have gained?
Yes
No

Where did you hear about Go Wales?
Direct mail
Newsletter
Website
Other OU Adviser
Word of mouth