Appointment form for Statistical Support Service

Newcastle University staff and research students

* Denotes required fields

Client
Surname *
First Name *
Discipline
School
Faculty
.
Telephone (preferred) *
Telephone (alternate)
Email Address *
Postal Address
Suburb
Post Code
State/Territory
Country
 
Please tick appropriate boxes Staff Position
Student Student number
Honours       Masters       Doctorate       PhD
Other (please name)
 
Degree enrolled in
Expected year and month of completion
If you are a member of a University research Project/Program, please name it and list the co-ordinator
 
 

Supervisors
Supervisor 1
Name
Discipline and School
Telephone (business)
Email Address
Supervisor 2
Name
Discipline and School
Telephone (business)
Email Address
 

Appointment
Please list several possible days/times that you and your supervisor could attend an appointment with an SSS consultant and preferred campus
 
Details for urgent requests
 

Consulting Problem
Please provide a one-page maximum overview of your general research aims and a description of the issues for which you are currently seeking advice *
 
 

Please print this form for your records before hitting the "submit my request" button