Ambassadors grant application form

Your details

Name: Contact email address: Affiliated university or institution: City: Country: I confirm I am a current member BPS Ambassador:

Ambassador Activity:

Activity Title: Activity Summary: When will the event or activity take place? (date and time): Where will the event or activity take place?: Who are you aiming to reach with your activity or event?: How many people are you expecting to take part?: What do you want participants to take away from your event activity?: How will you promote your activity within your organisation?: How will you evaluate whether you have achieved your aim(s)?: How does your project align with the vision of the British Pharmacological Society and what potential benefits are there for the BPS?: How will you disseminate your activity to members of the BPS who cannot attend the event?:

Projected costs:

Are you seeking sponsorship from any other sources? If so, please give details: Total expected cost (please give full details of expenditure and justification for resources requested): Total amount sought from the Society: Please confirm that, should funding be awarded, you will contact the Society’s engagement manager (getinvolved@bps.ac.uk) to request relevant branded materials to promote the Society’s support of the event or activity:
Security code: