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
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