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First name *

Last name *

Email *

University *

Phone number *

Please provide your social media handles

Year of study *

(Please note applications from second students are preferred, or third years if your course is longer than three years)

What is your favourite area of optometry? *

What is your favourite piece of equipment? *

What inspired you to become an optometrist? *

What is your favourite College resource? *

Please supply your three top tips for people starting an optometry degree *

In no more than 300 words, tell us why you’d make a great student rep *

Are you confident you can produce one piece of content for us each month? This could be a blog post, a video, or another format. *

Yes No

Are you comfortable writing blog posts? These can be short (under 200w) or longer (up to 500w) *

Yes No

How comfortable are you in front of the camera and taking videos on your phone? (NB: This won't affect your application) *

1 (Not comfortable at all) 2 3 4 5 (Very comfortable)

Please provide your hoodie size:

Please upload a photo of yourself that you are happy for us to use on the website *

Please select a file

Please let us know if you have a job or other commitments alongside your studies

Please tick