Science & Engineering Champions School/College Support Request Form

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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
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