Students' Union External Speakers Log
Please ensure this form is completed a minimum of three weeks before the event.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Student Number
*
Or job title if you are a staff member
Related Activity
*
Society
Sports Club
Future Leader
Course Rep
Campaign
Event
Other
Name of Society/Club/Project
e.g. Chess Society
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Event Details
Title of Event
*
Date
*
-
Month
-
Day
Year
Date
Date Picker Icon
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Venue
*
Expected Number of Attendees
Nature of Attendees
*
Students only
Open to the public
Staff only
Description of Event
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External Speaker Details
Name of Speaker
*
First Name
Last Name
Email of Speaker
*
example@example.com
Please list any organisations the speaker is associated/affiliated with
Title and synopsis of the talk
*
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Speaker Assessment
To the best of your knowledge please answer the following questions:
Has the external speaker(s) previously been preventedfrom speaking at the University of Huddersfield, or any other University, orsimilar establishment?
*
No
Unclear
Yes
Has the external speaker(s) previously been known toexpress views, or been affiliated with an organisation that expresses views,which may either be in breach of any Students’ Union policy including theExternal Speakers Policy, or be deemed to be extreme in that they are opposedto the fundamental values of our society?
*
No
Unclear
Yes
Does the proposed title or theme of the event presenta potential risk that views/opinions expressed by the speaker(s) may be inbreach of the Student Unions’ External Speakers Policy or University?
*
No
Unclear
Yes
Is the proposed speaker(s)/theme likely to attractattendance from individuals/groups that have previously been known to expressviews that may be in breach of any Students’ Union policy?
*
No
Unclear
Yes
Do you have any other concerns, or reason to believethat the proposed speaker(s)/theme may be in breach of, or cause concernsrelated to the Student Unions’ External Speakers Policy (e.g. significant mediainterest, large attendance, significant amount of controversy).
*
No
Unclear
Yes
I confirm, to the best of my knowledge, that the information detailed in this form is true and correct.
Signed
Clear
Email
example@example.com
Type a question
Submit
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