RESEARCH WEEK 2014EVENT BOOKING FORM

HOBART, LAUNCESTON, CRADLE COAST & SYDNEY- MONDAY 1 – FRIDAY 5 SEPTEMBER 2014

CONTACT DETAILSOrganisation Name (if external):

………………………………………………………………………………………………………………………………………………………..School/Faculty/Institute/Centre/Department Name/Research Group:

………………………………………………………………………………………………………………………………………………………..Contact Name:………………………………………………………………………………………………………………………………………………………..

Phone:………………………………………………………… Email:…………………………………………………………………...

Please return this form and the following pages to the Research Marketing Officer, Private Bag 1, or scan and email to Research.Marketing@utas.edu.au

EVENT DETAILS

NAME OF EVENT

PREFERRED START DATE* PREFERRED EVENT START TIME

PREFERRED END DATE* PREFERRED EVENT END TIME

EVENT VENUE(some bulk space has been booked- please leave blank if a venue is required)

SUMMARY OF EVENT(Maximum 150 characters)

EVENT TYPE(Please select)

q Celebrationq Ceremonyq Concertq Conferenceq Exhibitionq Performance

q Presentationq Public Forumq Public Lectureq Receptionq Seminar/Forumq Symposium

q Workshop/Trainingq Other______________

1

PLEASE RETURN THIS FORM BY NO LATER THAN:

FRIDAY, 11 July 2014

RESEARCH WEEK 2014EVENT BOOKING FORM

EVENT ALIGNS TO WHICH RESEARCH THEME(Please select if possible which research theme your event session aligns to)

Further details of the University of Tasmania’s Research Themes can be found here http://www.utas.edu.au/research/our-research/strategic-research-plan)

q Environment, Resources and Sustainabilityq Creativity, Culture and Society;q Better Health;q Marine, Antarctic and Maritime; andq Enabling Technologies and Platforms.

DESCRIPTION OF EVENT (Full description, pleaseconsider and comment on how this event will promote research activities under one of the five research themes of the University.)

NAME OF SPEAKERS

TARGET AUDIENCE(Choose Academics, Higher Degree Research Candidates, undergraduates, business, industry, government, community)

EXPECTED NUMBERS TO ATTEND (for room planning purposes eg. 30 maximum)

EQUIPMENT REQUIRED (Please specify so this can be coordinated- eg. Laptop and Projector, Web access)

IS CATERING REQUIRED

EVENT ORGANISER

RSVP/CONTACT INFORMATION(if applicable)