Ambassador grant form

Full name *

Email address *

Affiliated university or institution *

Country *

City *

I confirm I am a current member BPS ambassador. *

Activity title *

Activity summary *

When will the activity or event take place? *

Where will the activity or event 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 activity or event? *

How will you promote your activity within your organisation? *

How will you evaluate whether your project has met your aim(s)? *

How does your project align with the values of the British Pharmacological Society and what potential benefits are there for the BPS? *

How will you disseminate your activity to BPS members who are unable to attend the activity or event? *

Projected costs *

Are you seeking sponsorships from other sources? If so, please outline below. *

Please give the total expected cost (please give full details of expenditure and justifications for requested resources). *

Total amount (GBP) requested *

Please confirm that if funding is granted, 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 activity or event. *

Please fill out the form below to apply for a grant as an ambassador.

Ambassador activity