our expression of interest form

Collaborate with Us! Expression of Interest Form
At the National Science and Media Museum we are always looking for innovative ways to work with others to enrich
our exhibition and events programme. If you would like to work with us, or have an idea that you would like us to
consider, please complete the below form and email it to [email protected].
Please note that we will only consider complete submission forms
PROJECT NAME/ WORKING TITLE
CONTACT DETAILS
Name:
Email:
Telephone Number:
Organisation:
DETAILS OF ANY ADDITIONAL PROJECT PARTNERS
ESTIMATED START AND FINISH DATES
ESTIMATED COSTS AND SOURCE OF FUNDING
DESCRIPTION OF THE PROJECT
PLEASE SPECIFY WHO YOU FEEL WILL BE THE AUDIENCE FOR THIS PROJECT
DESCRIPTION OF HOW THE PROJECT WILL FIT WITH THE MUSEUM’S SUBJECT MATTER AND MISSION
(MAX 500 WORDS)
Our mission: To explore the science and culture of image and sound technologies, and their impact on our lives
DECLARATION
Signature
Name
Date
FOR MUSEUM USE ONLY
Proposal Approved:
Staff Project Manager:
YES/ NO