Public Engagement Record Form

Please fill in this form to let us know about Public Engagement activities that you have participated in.

If you are part of the MRC WIMM, please click here to access the MRC WIMM form

Name of staff member(s) involved

Name of Group Head of staff member(s) involved:

Research group/department of staff member(s) involved:

When the event took place:

Where the event took place

Nature of the engagement

Target audience

Approximate number in audience (if possible please include estimated gender split of audience)

Impact of engagement e.g. feedback given, thank you letters received etc.:

Which division do you belong to?

If you are part of the MCR WIMM please follow the link at the top of the form to access the MRC WIMM form.

CVM

IMD

NDCLS

OCDEM

RDM Strategic/Experimental Therapeutics

We're processing and storing the information you give us in accordance with the University's Staff and Student Privacy Notices.

Any questions about this form? Contact us at communications@rdm.ox.ac.uk

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