IOP Affiliated Society Registration 2021-22

1. Welcome to the IOP Affiliated Society Network

Please complete the form below to affiliate with the Institute of Physics for the academic year 2021-22. We will support your extra-curricular activities and you will join a network of over 50 physics and related committees around the UK & Ireland in our Affiliated society network.

We hope you can use our materials, funding and support to diversify your activities, widen engagement and increase the impact your society makes in the community this year.

Once we have received your application and this has been reviewed, we will be in touch with you to confirm your bank details for your affiliation grant and also to provide any further information, including resources and the IOP logo for you to use on your society webpage / where appropriate.

This form should take less than 5 minutes to complete.

IOP Student Community

1. Society Information *

University:	*
Society Name:	*
Number of committee members:	*
Approx. how old is your society? (in years)	*
Approx. number of society members:	*
Approx. % of members who study in department	*

2. Social Media

Website:
Facebook:
Other social media handles:

Contact information

Both reps must be IOP members
For the academic year 2021-22

Please provide relevant contact information in the below boxes. If you give a society emails, please make sure this is checked regularly. Communications typically include: important information for committee members including funding, relevant events for your members, further events/opportunities organised by the Society Network and invitations to IOP student events, forums, conferences and so on.

3. Primary Committee Contact *

Name:	*
Email address:	*
IOP Membership Number:	*
Contact number:	*
Signature (typed):	*
Date:	*

4. Secondary Contact *

Name:	*
Email:	*
IOP Membership Number:	*
Signature:	*
Date:	*

5. Other relevant contacts

Committee IOP 'Rep' email address, if different to the above (you can appoint an IOP Campus Ambassador formally/informally to the committee, if preferred):
Relevant department contact name (e.g. outreach or engagement officer, or someone who supports the society):
Relevant department contact job title:
Their contact address:

6. If you wish to receive IOP merchandise (pens, pads, water bottles, tote bags and leaflets) which you can distribute to your society, please provide your delivery address as well as a contact number and email address. Please note, the delivery is quite heavy: it is advised you send to a location close to your events:

7. Any questions for us?

8. The Committee agrees to abide by the IOP Code of Conduct found here: https://www.iop.org/code-conduct#gref *

Agree
Disagree

9. Diversity and Inclusion

The Institute of Physics is an open and inclusive organisation that welcomes and celebrates diversity. Societies should work to cultivate an inclusive, sustainable, diverse and vibrant physics community and actively reach out to underrepresented groups on campus.
*

Agree
Disagree

Your Privacy

We take your privacy seriously and are committed to protecting the personal information you share with us. This form will only be used for the purposes of affiliating societies, processing their grant applications and contacting committee members with future IOP and physics related opportunities. For more details about how we handle your personal information, please see our Privacy Notice.