PHD Challenge Day application form

We are dedicated to making reasonable accommodations to ensure that all applicants can submit their application and participate in our selection process. If you encounter any difficulties completing our application form or require additional support, please contact Carly on [email protected].

Before you begin

A reminder that to be eligible to apply for the event, your organisation must meet the following essential criteria: 

Be an organisation with a charitable purpose focusing on inclusion.
Be a small to medium-sized organisation with a turnover of £2 million or less. 
Have a clear, live campaign idea which you are already working on or have planned to start working on this year.
Have two members of the organisation, including one specifically working on your campaign, available to join all online sessions as outlined above.

How Media Trust may use this data:

Assess your suitability for this event
Contact you about your application and the event
Contact you about other events or activities that we think may be of interest to you

We promise to keep your data safe and secure and will never sell your data. For more information on how we protect your personal data, see our Privacy Policy. By filling out this form, you agree to us storing and using your data as described.

Your details

Name *

First Last

Job title *

Email *

Phone *

Your organisation

Organisation Name *

What type of organisation do you work for? *

You selected 'Other', please tell us what type of organisation you work for *

Registered number

eg. charity number

Organisation Website *

Region *

Size of Organisation *

Based on annual income:

Micro (less than £0.5M)
Small (£0.5 -£1M)
Medium (£1M - £5M)
Large (£5M - £10M)
Major (£10M - £100M)
Super-major (More than £100M)

Charitable focus *

You selected 'Other' please specify *

Which of the nine protective characteristics detailed in the Equality Act (2010) does your organisation support? *

Describe your organisation’s mission *

Describe how your organisation supports inclusion *

What does intersectionality mean for your organisation? *

Is your organisation user-led *

Yes

If yes, please describe to what extent your organisation is user led. (e.g., do most of your board and senior executive team come from the communities you serve?) *

About your campaign

Describe the specific campaign that you would like help with *

What impact would this support have on your organisation and the communities you work with? *

How did you hear about the event? *

Have you received support through Media Trust previously? *

Yes

Which programme, event or training have you taken part in? *

Availability

I confirm that two members of the organisation, including one specifically working on our campaign, are dedicated to joining all event sessions? *

Yes

Attendee 1 *

First name Last name Job title

Attendee 2 *

First name Last name Job title

Please specify any accessibility requirements attendees need support with to participate in the event. Please note all sessions will be taking place online. If none, please type N/A.

Our commitment to equalities and inclusion *

At Media Trust, we proudly work to ensure our programme and event environments feel safe, supportive and inclusive for all of those taking part. And we ask that partners and participants help us to do the same.

I have read, understood and support the above

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PHD Challenge Day application form

Your details

Your organisation

About your campaign

Availability

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