Application form – Student Society Fund

Personal details

Name:

Institution (e.g. university name):

Course:

Email:

Telephone number:

Student society

Name:

Number of student members:

Type of student members (e.g. undergraduate/postgraduate and year of study):

Proposed event

Type of event (seminar, networking event, interactive workshop etc.):

Title of event:

Event topic or theme:

Date/Time:

Venue:

Number of attendees:

Has the student society held similar events in the past? Please provide details:

Name of speaker(s):

Reasons for inviting speaker(s) – why is this person the best to speak on this topic for this audience?:

Aims and objectives of event (no more than 100 words) – what do you want the audience to take away from the event?:

Publicity

How will you be advertising this event? Please tick as appropriate:

Student society members (email)
Posters
Flyers
Wider student body (email)
Academic staff (email)
Other universities (email)
Other (please state below)

Funding

Please briefly explain how £250 will contribute towards your event (maximum 500 characters):

Security code:

Enter security code: