Click application form
Your name ______________________________________________________________________________
Dept/Club/Society ________________________________________________________________________
Email __________________________________________________________________________________
Telephone ______________________________________________________________________________
Application date __________________________________________________________________________
Title of the project/activity
___________________________________________________________________________________________
Please give a brief description of your project
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
What would you raise money for and how much do you wish to raise?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Where are you with your project/activity (what have you done so far)?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Who are the beneficiaries of your project/activity?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
How would Click benefit your project? Could the project happen without using Click?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Explain how your project meets one or more of the four guiding principles for projects/activities as
outlined in the accompanying guidelines.
Please pick one or more as appropriate:
Culture of membership
Essex Spirit
Global community and outlook
Research mindset and skills
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
By submitting this form you confirm the following:









I am a member of the University of Essex (student/staff/alumni)
I will deliver the rewards that I post as part of the project
I will not offer financial securities (e.g. shares etc.) for donations
I will not use the website to ‘fund my life’ or fundraise for other charities
I understand my submission will be moderated for content and suitability
It is my responsibility to ensure the success of my projects
I will promote and publicise my project to the best of my ability and actively seek donations
This campaign will move my project forward but won’t be for profit reasons
I will not keep any contact details of donors following successful completion of the project