SEN Professional Network Application Form: Proposal for a New Professional Network

SEN Professional Network Application Form: Proposal for a New Professional Network
Personal Information
Name

First NameLast Name
Organisation
Position
Email
example@example.com
Phone Number
Please enter a valid phone number.
Proposed Professional Network
Proposed Professional Network Name
Primary Focus Area
Purpose and Objectives
Briefly describe the purpose of this proposed Professional Network. (100 words max)
List 3-5 key objectives for this Professional Network.
Relevance and Need
How does this Professional Network align with SEN's mission and goals? (150 words max)
Describe the gap or need this Professional Network will address. (150 words max)
Potential Membership
Estimated number of potential members.
Target audience/roles for membership.
Proposed Activities
List 3-5 key potential activities or initiatives for this Professional Network.
Expected Outcomes
What tangible outcomes do you anticipate from this Professional Network? (150 words max)
Leadership
Are you willing to serve as the initial Convenor for this Professional Network?

YesNo
If no, do you have suggestions for potential Convenors?
Additional Information
Is there any additional information you'd like to provide supporting this proposal? (200 words max)
Endorsements
Do you have support from colleagues for this Professional Network?

YesNo
If yes, please list names and organisations.
Checklist
I have reviewed the:

Professional Network CharterProfessional Network Framework
I understand the expectations of each Professional Network, Convenor and Working Group?

YesNo
Declaration
I confirm that the information provided in this application is accurate to the best of my knowledge. I understand that submitting this application does not guarantee approval for the formation of a new Professional Network.

By submitting this EOI, you agree to the declaration stated above.

Your application will be reviewed by the Professional Network Chair and SEN Staff and voted on by the SEN Governance & Nominations Committee. You will be notified of your application’s result after the finalisation of the Governance and Nominations Committee meeting minutes.
Should be Empty:

SEN Professional Network Application Form: Proposal for a New Professional Network

Personal Information

Proposed Professional Network

Purpose and Objectives

Relevance and Need

Potential Membership

Proposed Activities

Expected Outcomes

Leadership

Additional Information

Endorsements

Checklist

Declaration