Past Pupil Network - User Registration

While people can contact you by email, your actual email address is never disclosed
Part A: Personal Details (Area's in Italics are optional)
Title:
First Name:		Street Address1:
Last Name:		Street Address2:
Email Address:		Town:
Phone:		PostCode:
Password:		County/State :
Confirm Password:		Country :
Year of Leaving Loreto:
Part B: Details to assist in the careers education in Loreto Bray
Industry:
	Others
What is/was your specific job or other title / role?
Organisation name:
Organisation Address:
Interests

Would you allow your name to be included in a panel of people who could be called on to contribute an article for our Yearbook?			YES No
Would you be willing to help out with the Careers Programme in Loreto Bray?			YES No
If yes: Would you allow your name to be included in a panel of people who could be called on to help out in the following areas? (Please tick as appropriate)
Career Talk to students
Allow a student to job or shadow for a short period
Carry out Mock Interviews in your broad area
Provide Work Experience
1 to 1 Career Information /Advice on your career area
In Person
By Phone
By e-mail