Please include a cost breakdown for the funding requested (please fill in categories as appropriate) Learning resources £ Details of ‘other’ costs Engagement £ Total Estimated £ costs Please provide justification of requested funds Include: I acknowledge that (if funded): Funds will be claimed, via invoice, in arrears and the claim will be accompanied by a 500-word report to HIS post-event The event must acknowledge the funding from the ‘Healthcare Infection Society’ and use the HIS logo included on marketing material in advance of the event, on the day of the event and any resources produced for the event (after approval from HIS) Society materials may be requested for display at the event, where appropriate, and will be provided in advance by the Society Declaration To the best of my knowledge the information given in this application is accurate and complete I have read and understood the terms and conditions under which the grant is awarded, and if an award is made, I agree to adhere to them. Applicant signature: Print name: Date:
Please include a cost breakdown for the funding requested (please fill in categories as appropriate) Learning resources £ Details of ‘other’ costs Engagement £ Total Estimated costs £ Please provide justification of requested funds Include: I acknowledge that (if funded): Funds will be claimed, via invoice, in arrears and the claim will be accompanied by a 500-word report to HIS post-event The event must acknowledge the funding from the ‘Healthcare Infection Society’ and use the HIS logo included on marketing material in advance of the event, on the day of the event and any resources produced for the event (after approval from HIS) Society materials may be requested for display at the event, where appropriate, and will be provided in advance by the Society Declaration To the best of my knowledge the information given in this application is accurate and complete I have read and understood the terms and conditions under which the grant is awarded, and if an award is made, I agree to adhere to them. Applicant signature: Print name: Date:
public-engagement-grant-form-april-2018.docx