contact us
|
sitemap
|
our benefactors
|
help
|
search:
Home
Background Reading
Science in Society
Science Communication Conference
Conference Archive
FAQs
Contact Us
Bursary Scheme
Venue Information
2011 Fees
Science Communication Conference London,
14 & 15 May 2012
(Fields marked * are mandatory)
Details of delegate:
Title: *
Mr
Mrs
Miss
Ms
Dr
Professor
Sir
Lady
Lord
Dame
First name: *
Surname: *
Organisation: *
Job title: *
Address (line 1): *
Address (line 2):
Town/County: *
Post code: *
Daytime phone number:*
Email: *
To encourage networking, please include a short (max 50 word) description of your involvement in science communication for the delegate pack (only to be circulated to conference delegates)*
Please tick here if you do
not
want your contact details and the above paragraph to appear in the delegate list.
Please tick here if you have
not
attended the conference before.
How would you describe your area of work?
Science communication is a field which consciously draws on skills and experience from a variety of different sectors. For this reason, we would like to know who is attending the conference.
Please select one of the categories below. If you are unable to select just one category, you may select more than one or select 'other' and provide your own
brief
description. *
Public engagement
Journalism
Research science
PR & communications
Engineering
New media
Social science
Artist
Industry
Fundraising
Education
Policymaking
Student
Government
Other (please specify)
Concessionary rate
We are able to offer a concessionary day rate to students and the unemployed. If you believe you are eligible, please tick the appropriate box below and provide the relevant evidence (see
pdf
for acceptable evidence).
Student
Unemployed
Evidence of status
No concessionary rate
Special Requirements:
Special dietary requirements:
Special access requirements:
Delegate Monitoring:
We want to make sure that the conference is accessible to everyone regardless of their age or ethnicity. We would therefore ask you to fill in this part of the application form to enable us to monitor whether the conference is excluding applications from any particular group.
Age group:
18-25
26-35
36-45
46-60
60+
Ethnicity:
White
Black or Black British
Chinese or Chinese British
Asian or Asian British
Mixed
Other ethnic group
Specify if you wish