External Speaker/Visitor/VIPRequest Form

This form is for all Student Groups who have an external speaker/VIPattending their event. An external speaker is anyone who is not affiliated with the Students’ Union (SU)or the University and has been invited to attend your Student Group event.

Examples include: a political party representative, visiting lecturer, TV personality, poets and/or performers, faith leaders, visiting coaches and career advisers etc.

Gender segregation during student led events is not permitted (unless it is during formal prayer sessions). Please keep this in mind when planning your events.

Any costs that might occur from your guest speaker’s visit should be covered by the Student Group who invited them.

Please follow these steps:

  1. Complete this form in FULL (both pages of the application),
  2. Email to Naomi (Student Development Officer)on ,
  3. Form should be sent 4 weeks prior to the event, an absolute minimum of 2 weeks’ can be accepted for the event to gain approval. Events will be declined if requests are received inside the 2 week period.

Student group details
Student Group organising event:
Name of organising Committee Member:
Contact Email: / @student.le.ac.uk
Contact Telephone number:
Event details
Title of event:
Date of event:
Venue/location:
Expected number of attendees:
Start time:
Finish time:
Committee member in charge/Chairing on the day

Additional documents/bookings to complete:

  • Have you completed an up-to-date Risk Assessment form Yes / No
  • Submitted the Risk Assessment form to the ARC Team Yes / No
  • Completed the SU Room Bookings OR the University Room Bookings form Yes / No
  • Providedcopies of the presentation/hand-outs/ transcripts Yes / No

If yes, please include copies of this with this form.

Who is the event for:

  • Members Yes / No
  • Invitation/ticket only Yes / No
  • Open to the general student population Yes / No
  • Open to the general public Yes / No

About the event:

Please provide a short description of the event (40-50 words max):

About the Speaker(s)

Please continue onto a different page if you have multiple speakers

Speaker details
Name (in full):
Organisation they represent/represented:
Subject they will be presenting:
Contact email or phone number:
Date of birth:
Website details (where relevant to provide further information on the speaker):

Brief CV (30-40 words):

Speaker declarations:

  1. Do they have any affiliations (specifically where they are religious or political)? Yes / No
  2. If yes, with whom?
  1. Declaration of any knowledge of controversy attracted by the speaker or this topic in the past? Yes / No
  2. If yes, please provide details?
  1. Is the event and speaker likely to attract media interest? Yes / No
  2. If yes, why?
  1. Any other information you think we need to be aware of?

Please email this form to Naomi Galliford (Student Development Officer) -

OFFICE USE ONLY

Date the ARC Team Received?

Was it approved in Stage 1? Yes / No

Was the request passed onto Stage 2? Yes / No

Date the request passed onto Stage 2?

Any other comments?

Jan 2015 1 | Page

External speaker/visitor/VIP request form – email to