Octagon Gallery Proposal Form Please fill in all boxes. Your completed form must be under 2 pages in length. The aim of the competition is to help showcase UCL’s cross disciplinary research in ways that will engage the public and develop the skills of UCL staff. Applicants should read the guidance notes, available from our website, before completing this form. Lead applicant name Second applicant name Department/Institute/other Department/Institute/other Faculty Faculty Email Email Phone Phone Select your role from the list below (right click on the box, then go to ‘properties’ and select ‘checked’) Professor Professor Lecturer Lecturer Senior lecturer / Reader Senior lecturer / Reader Teaching fellow Teaching fellow Teaching assistant Teaching assistant Support staff Support staff Research associate Research associate Research fellow Research fellow Research student Research student Q1. Please describe your exhibition proposal in no more than 100 words, in language that you would use to promote it to a general audience. Q2. Please give fuller details of the research you want to showcase and its cross disciplinary nature. Are any other UCL or external collaborators involved in addition to the applicants? Q3. What are the aims of your exhibition, and any associated events you might wish to stage alongside it? Q4. Do you have any ideas about how your research can best be communicated visually in the Octagon Gallery? Do you have specific objects/ artefacts/ specimens/ artworks in mind? (if you win, we will help you with this). Q5. If you win, what public engagement events/ activities might you be prepared to offer in conjunction with the exhibition during its showing? Q6. Why do you want to do this project? What impact do you hope to have on the people who see this exhibition? What impact will it have on you and your research? Before you submit please contact Susie Chan for more information. If you win, we expect you to undertake the work necessary to select content and produce interpretation in a timely fashion. Please see the guidelines on time commitment. Please sign below to confirm that you agree to this. Completed forms should be sent to Ruby Wheeler (r.wheeler@ucl.ac.uk) no later than Tuesday 29th April.