Science & Engineering Champions School/College Support Request Form To request support from the Science and Engineering Champions Scheme (Undergraduate Student Ambassadors) please complete and return this form to: Gemma Greenup – g.greenup@sheffield.ac.uk Please submit your request giving a minimum of four weeks’ notice. A member of the Outreach team will contact you to confirm whether we are able to support your event. School/College contact details School/College name Address Phone number Contact name Contact email Type of request Event date Event start time Event finish time Event description Year group(s) Event address (If different from above) Type of support requested Number of Champions requested Preferred Champion Course of Study (Please indicate your Any Science Any Engineering Animal and Plant Sciences Aerospace Engineering Chemistry Automatic Control Systems preferences with an ‘X)’ Engineering Molecular Biology & Bioengineering Biotechnology Physics and Astronomy Chemical & Biological Engineering Psychology Civil & Structural Engineering Mathematics and Statistics Computer Science Electronic & Electrical Engineering Materials Science and Engineering