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IOPW Public Engagement Grant Application Form

1. Application

Os hoffech ddarllen a llenwi’r ffurflen hon yn Gymraeg ewch i’r blwch dewis iaith yn y gornel dde ar dop y dudalen. To read and fill this form in Welsh please use the drop down box at the top right corner of the form.

Please complete all fields of the form below. Your application will be reviewed by the IOP Wales Committee and we will aim to send a response to your application within 6 weeks of submission.

If you would like to discuss your project or the application process before applying, please contact the Engagement Officer for IOP Wales on physics@iopwales.org.

We recommend writing your responses in a document ahead of submitting and copying it into this form.

Contact Details: *

Applicant's Full Name:	*
Organisation:	*
Role:	*
Address:	*
Postcode:	*
Email:	*
Telephone:	*

Project title (max 12 words): *

Project summary (max 250 words):
Use this space to tell us about your project. It should be clear to someone not involved with the project what you hope to do. Who is your target audience? What will they gain from the engagement? What activities will be involved? What will the audience journey be?

Grants are only available for project which benefit Wales or people in Wales. *

Activity type:
Please select all that apply. *

What are the aims and objectives of your project? (max 250 words)
The aims should tell us what your project hopes to achieve. Your aims can be kept more general.
Your objectives should state specific outcomes which can be measured by your chosen evaluation method. Please make your objective SMART (specific, measurable, achievable, relevant and time-constrained). *

Do you expect your audience to have a prior interest or background in physics? *

Yes
Some
No

Age(s) of target audience:

Does your target audience fit into any of these categories?
Please select all that apply. *

What will be the venue(s) for your project? Please tell us why you expect your target audience to be there. (max 150 words)
Please include the name of confirmed venue(s) or venue(s) you are in the process of securing. Will you be expecting your target audience to come to you or will you go to them? *

How many people do you expect to reach? *

In person:	*
Not in person (e.g., website hits, podcast downloads, video views):	*

How will you promote your project to your target audience? (max 120 words)
We want to assure that your project activities/ outcomes will be well attended/ used by your target audience. It is worth noting that events marketed as "science" tend to attract an audience that is already engaged with science. *

Project costings: *

Total project cost:	*
Funding from IOP Wales (you may apply for up to £800):	*
Cost to audience (e.g., price per ticket/ entry fee):	*

Cost breakdown:
Please tell us about the project costs, including how you will cover project costs not covered by the grant. For more information about eligible costs and what we will be looking for in your cost breakdown, check the applicant guidelines on our website. *

	Item and description	Cost	Covered by
1	1 Item and description	1 Cost	1 Covered by
2	2 Item and description	2 Cost	2 Covered by
3	3 Item and description	3 Cost	3 Covered by
4	4 Item and description	4 Cost	4 Covered by
5	5 Item and description	5 Cost	5 Covered by
6	6 Item and description	6 Cost	6 Covered by
7	7 Item and description	7 Cost	7 Covered by
8	8 Item and description	8 Cost	8 Covered by
9	9 Item and description	9 Cost	9 Covered by
10	10 Item and description	10 Cost	10 Covered by
11	11 Item and description	11 Cost	11 Covered by
12	12 Item and description	12 Cost	12 Covered by
13	13 Item and description	13 Cost	13 Covered by
14	14 Item and description	14 Cost	14 Covered by
15	15 Item and description	15 Cost	15 Covered by

Additional items can be added here:

Have you applied to another organisation(s) for funding of this project? *

No
Yes, please give the name(s) of the organisation, funding amount requested, and the outcome of the funding application (if known).

Please state any other partners involved in the project, for example those providing support-in-kind:

How will the support for IOP Wales be acknowledged in materials and/or branding related to your event or activity? *

What considerations have you given to practical issues such as copyright, insurance or health and safety? *

How will you know whether you have met your objectives? (max 250 words)
We will be looking for evidence that you have thought about evaluation of your project. What evaluation methods or tools will you use? How will you know you've reached your target audience?You can find out more about how to evaluate projects on our website.
*

Please tell us about any previous experience you have in organising activities to communicate science. (max 120 words) *

Have you or your organisation applied to the IOP or IOP Wales for funding before? *

No
Unknown
Yes, please include the project title, the year of application and the outcome of the application.

Please give the name and email address of one referee.
It must be someone who knows of your work related to this activity but they must be independent of the project. Your referee may be contacted as part of the grant assessment process. *