Event Support Application Form | The Learned Society of Wales

Title of the event*

Date of the event*

Theme and objectives of the event*

Please name any partner organisations and say how they will be involved

Please state how the event will contribute to at least ONE of LSW’s strategic priorities:*

• Promoting innovative research • Reaching beyond academia to policy makers and influencers • Promoting learning and debate to a wider audience • Increasing the number of Fellows actively contributing to LSW’s work

Email address of principal organiser*

Provisional speakers (as far as is known):

Do you have any plans to encourage diverse participation in the event? (e.g. diverse speakers, promotional avenues, methods used at event)*

How much / what kind of support is requested from LSW?*

How will this support be used?*

Please confirm that if you receive support from LSW, you will acknowledge this in publicity materials and at the event.*

YES

We ask that you provide LSW with some form of content after the event. Tick one or more boxes to confirm what content you will provide*

Photos
Audio/video content
A report
Quantitative data (e.g. numbers who attended)
Qualitative data (e.g. participants’ feedback)
Other

Please state below*