UKAN Impactful Public Engagement Programme Application Form

Professional development for the UK Acoustic Network (UKAN) in public engagement

Please read the UKAN Impactful Public Engagement Programme invitation here before you complete this form. Completed forms must be received by 16:00 on 14th April 2022.

This form cannot be saved and returned to at a later date, and cannot be retrieved in the event of an internet connection error or timeout, so please prepare your words in a separate document.

Data protection consent

In order to receive your application, the NCCPE requires your consent for us to process your personal data. Please see our Privacy Notice for information on how your personal data will be processed.

Do you consent to the NCCPE processing your personal data for the following purposes? *

	Yes	No
Processing your application for this project (consent is required for us to accept your application) *	Processing your application for this project (consent is required for us to accept your application) - Yes	Processing your application for this project (consent is required for us to accept your application) - No
Sending NCCPE emails to you about public engagement news and events *	Sending NCCPE emails to you about public engagement news and events - Yes	Sending NCCPE emails to you about public engagement news and events - No
Connecting you with other delegates and relevant contacts *	Connecting you with other delegates and relevant contacts - Yes	Connecting you with other delegates and relevant contacts - No

First name *

Last name *

Personal pronouns (optional)

Email address *

Job title *

Institution or Organisation name *

Social Media Twitter handle. Join the conversation on Twitter with UKAN and NCCPE

Are you a member of UKAN? *

Yes

No

Don't know

Other...

Are you a member of UKAN? Other...

Are you part of UKANs Specialist Interest Groups? Please choose all that apply from the list below *

Please give the name of your UKAN-funded investment (if applicable)

Accessibility

We seek to make our programmes fully accessible to all. The application form includes a space to outline any accessibility requirements you might require. The programme will be delivered using the following tools. Instructions on how to use each tool will be provided.

Live captions will be available
Facilitators will regularly summarise discussions in the chat function
Regular screen breaks will be programmed into the agenda, and will be adhered to
The sessions will be recorded for programme participants to watch again, or access if they were unable to attend the full session
Slides used in the presentations will be shared in advance (at least 1 week before the session)
Video webinars with audio narration and closed captions
Online networking through Basecamp
Webpages, documents and Padlet boards for self-directed learning

You can read the NCCPE’s Accessible and Inclusive Practice Guidelines here.

Please describe additional requirements

Assessment

Applications will be assessed by UKAN and NCCPE based on their potential benefit to the applicant.

In addition, we will select applicants to ensure a balance of different perspectives, disciplines, expertise and affiliations. We hope that the full cohort will have spread across UKAN’s remit, including those from university, industry and the third sector.

Briefly describe your interest in public engagement with research *

How do you hope any, or all of the following will benefit from your involvement in the Impactful Public Engagement Programme? *

You and your professional development, your research or work, other people (e.g. colleagues, students, collaborators, partners, publics?) (up to 200 words)

What are your engagement hopes for the future? *

Feel free to share hopes for your engagement practice or for the wider sector

What do you hope to gain by being part of UKAN’s Impactful Public Engagement programme? *

To help ensure that the training is relevant to your needs please tell us which of the topics below are of interest to you. *

Please tell us about any additional topics you would like to see covered or skills you would like to develop as part of the UKAN Impactful Public Engagement Programme

Terms and Condtions

By submitting an application, I agree to: *

	Yes	No
Commit to programme components (3 online events, networking and peer learning) listed in the UKAN Impactful Public Engagement Programme invitation) *	Commit to programme components (3 online events, networking and peer learning) listed in the UKAN Impactful Public Engagement Programme invitation) - Yes	Commit to programme components (3 online events, networking and peer learning) listed in the UKAN Impactful Public Engagement Programme invitation) - No
Ensure my application complies with the application criteria *	Ensure my application complies with the application criteria - Yes	Ensure my application complies with the application criteria - No
Contribute to the evaluation of the project *	Contribute to the evaluation of the project - Yes	Contribute to the evaluation of the project - No
Inform NCCPE if I need to withdraw from the programme at my earliest opportunity (at least 3 weeks before the event, so we can give your place to someone else) *	Inform NCCPE if I need to withdraw from the programme at my earliest opportunity (at least 3 weeks before the event, so we can give your place to someone else) - Yes	Inform NCCPE if I need to withdraw from the programme at my earliest opportunity (at least 3 weeks before the event, so we can give your place to someone else) - No
Optional request - allow NCCPE and UKAN to keep a copy of photographs and recordings taken at the online event for sharing with delegates. *	Optional request - allow NCCPE and UKAN to keep a copy of photographs and recordings taken at the online event for sharing with delegates. - Yes	Optional request - allow NCCPE and UKAN to keep a copy of photographs and recordings taken at the online event for sharing with delegates. - No

Optional request:

	Yes	No
Allow NCCPE and UKAN to keep a copy of photographs and recordings taken at the online event for sharing with delegates.	Allow NCCPE and UKAN to keep a copy of photographs and recordings taken at the online event for sharing with delegates. - Yes	Allow NCCPE and UKAN to keep a copy of photographs and recordings taken at the online event for sharing with delegates. - No

Please note if you disagree with the guidelines, we will not be able to pursue your application. Therefore, if you have ticked disagree - please tell us why, and we will be in touch to see how we can address your concerns.

To submit, please click on the button below. You will receive confirmation of your application by email.

If you have any questions in the meantime please contact Manjula Halai, NCCPE Project Officer manjula.halai@uwe.ac.uk

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