Contact Address

Line 1 (Required)

Line 2

Line 3

City/Town (Required)

State/County

Country (Required)

Postcode/Zipcode

Current Employment Details

Employment Status (Required)

Employed
Unemployed
Self-employed
Other:

(please specify)

Job Role

Name of Employer

Length of Time in Current Position

Under 6 months
6 months - 1 year
1 year - 3 years
3 years - 5 years
5 years and above

Main Sector/Industry

Agriculture, hunting and forestry

Fishing

Mining and quarrying

Manufacturing

Electricity, gas and water supply

Construction

Wholesale and retail trade; repair of motor vehicles, and personal and household goods

Hotels and restaurants

Transport, storage and communication

Financial intermediation

Real estate, renting and business activities

Public administration and defence; complusory social security

Education

Health and social work

Other community, social and personal service activities

Private householdss with employed persons

Extra-territorial organisations and bodies

Other:

(please specify)

Data Protection Statement

Information supplied on this form will be stored and used in accordance with the Data Protection Act. It will be used for University purposes only, including; sending University publications, informing alumni of local events, fostering networking between alumni inter alia.

Authorisation (Required)

I hereby authorise the University of Leicester, and the University of Leicester School of Management to hold my personal details on a database of alumni. Please select:

Yes
No

Additional Authorisation (Required)

I further authorise them to make the personal information, contact details and current employment details I have given available to other alumni via a password protected website in the future:

Yes
No