External Speaker Form

Group Details

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Event organiser's name

KCLSU ratified group name

Are you a committee member of the society? Please Choose No Yes

Email address

Contact number

Event Details

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Event date

Event start time

Event end time

Event type Please Choose Lecture Q&A Seminar Stall Workshop

Topic of event

Chair of event

Details about the event

Special requirements
Wheelchair Accessible AV Catering Security

Preferred campus Please Choose DenmarkHill Guy's Strand Waterloo

Room set up Please Choose Not applicable Theatre Lecture Cabaret Boardroom Without Furniture

Speaker Information

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Self-Referral Please Choose Yes No
Tick yes if any of he speakers meet the following criteria.

• The speaker or topic attracted controversy in the past
• The event or speaker is likely to attract media interest or has featured in mainstream media
• The external speaker is on a speaker tour across a number of institutions or organisations
• The Speaker has over 10,000 Twitter followers 

Name of first speaker

Details of first speaker

Name of second speaker

Details of second speaker

Name of third speaker

Details of third speaker

Name of four speaker

Details of fourth speaker

Name of fifth speaker

Details of fifth speaker

Promotion and Ticketing

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How are you planning on promoting the event? (Select all that apply)

Social media (e.g. Facebook/Twitter/Instagram)
Activity Group website KCLSU Website Mailing List Posters/Fliers External Promotion/Other (please specifiy)

Details of other promotions

Number of attendees

Who is the event open to? (Select all that apply)

KCL Staff (with valid ID) KCL Students (with valid ID) Other Students (with valid ID) General Public

Will your event be ticketed? Please Choose No Yes

Any other information