Commitment Form

Name:

Surname:

Student Number:

Age:

Course of Study:

What did you do last year:

Hometown:

High School Attended:

What is your t-shirt size:

Where did you hear about wela? (Tick as many as appropriate):

If selected other, please list them:

Who or what motivates you:

WHat challenges do you foresee working and studying in a traditionally male dominated field:

What do you expect to gain from joining wela:

What is your definition of success:

How do you define personal success in the context of University life (what must happen for you to think that you have been successful):

Now, at this stage, what do you think (if any) is standing in your way to successfully complete your academic year:

If you are not a 1st year student, What prevented you from joining WELA in the past and why are you joining now:

Is studying Engineering your first choice? If not, what would be your first choice:

What would prevent you from joining this programme:

Captcha: