Medical and Careers Event Financial Sponsorship Application Form

We are happy to financially support medical fairs and events related closely to our specialty. You can apply for funding by completing and submitting the following financial sponsorship application form below.

Whilst financial sponsorship is open to non-members, priority will be given to our undergraduate members. Please note that sponsorship requests should be submitted at least two weeks prior to the event. Retrospective sponsorship will not be granted.

College Reference Number (CRN) (if applicable)

Name of principle applicant

Correspondence address

Address 1

Address 2

City/Town

County

Postcode

Contact telephone number

Email address

Title of event

Date of event (DD/MM/YYYY)

Please upload a draft programme/programme of event

Allowed file types: rtf pdf doc docx ppt pptx only

A description and justification of the proposed event. Please note that applications will be assessed against how relevant the event is to our specialty

Detailed breakdown of costs

Total cost of sponsorship requested

Applicant signature

Please sign above using your mouse or finger (if using a touchscreen device)

Date (DD/MM/YYYY)

Confirmation

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We use appropriate organisational and technical measures to ensure that your data are secure and protected from loss, misuse and unauthorised access or alteration.

You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected. If you have any questions about data protection or require further information, please email dpo@rcoa.ac.uk

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