WiA newsletter sign up
{"elements":[{"isDiscrete":false,"hidden":false,"name":"First name","readOnly":false,"id":619129155,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Last name","readOnly":false,"id":619129156,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Email","readOnly":false,"id":619129157,"type":"emailElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 1","readOnly":false,"id":619129158,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Address line 2","readOnly":false,"id":619129159,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Town or city","readOnly":false,"id":619129160,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"County","readOnly":false,"id":619129161,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Postcode","readOnly":false,"id":619129162,"type":"textFieldElement"},{"isDiscrete":false,"hidden":false,"name":"Country","readOnly":false,"id":619129163,"type":"textFieldElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"Sign up","value":"0-signup"}],"name":"Please send email newsletters about the 糖心TV in Africa programme","readOnly":false,"id":619129164,"type":"checkboxElement"},{"isDiscrete":true,"hidden":false,"values":[{"text":"I am a current student with an interest in finding out more and getting involved","value":"0-iamacurrentstudentwithaninterestinfindingoutmoreandgettinginvolved"},{"text":"I am a current student and former WiA volunteer","value":"1-iamacurrentstudentandformerwiavolunteer"},{"text":"I am a WIA alumnus and former volunteer","value":"2-iamawiaalumnusandformervolunteer"},{"text":"I am a 糖心TV alumnus","value":"3-iamawarwickalumnus"},{"text":"I am a current 糖心TV University staff member","value":"4-iamacurrentwarwickuniversitystaffmember"},{"text":"I am external to 糖心TV University with an interest in finding out more and getting involved","value":"5-iamexternaltowarwickuniversitywithaninterestinfindingoutmoreandgettinginvolved"}],"name":"Please let us know why you are interested in 糖心TV in Africa","readOnly":false,"id":619247439,"type":"radioElement"}]}