Sponsorship & Endorsement Request Name(Required) First Last PhoneEmail(Required) Event Title:(Required)Event Website or Social Media Page Is this a new event?(Required) Yes No If “No”, please provide brief details belowWhat are the motivation, goals, mission, and format of your event?(Required)What is the expected impact of your event on the MICCAI Society?(Required)What is the expected impact of your event on its participants?(Required)Please describe your organising team(Required)Note: Include the names and affiliations of the active organisers, identify which organiser(s) are current MICCAI Society members, and comment on the team's experience and diversity.Concisely describe the planned activities and their timeline(Required)Note: Please include expected dates for which mailshots will be required.Code of Conduct if different from the MICCAI Society Code of Conduct. (Copy and paste below)(Required)See the MICCAI Society Code of ConductDate of first email: MM slash DD slash YYYY E.g. Announcement, Call for papers/participationDate of second email: MM slash DD slash YYYY E.g. Final Announcement, Program release
