Information Form for Exchanges:
Name: | _____________________________ | ||
Affiliaton: | _____________________________________ | ||
Address: | _____________________________________ | ||
City: | _______________ | ZIP: | _________ |
Country: | ______________________ | ||
Tel: | ________________ | Fax: | ________________ |
Email: | _______________________________ | URL: | _______________________________ |
Facilities you can provide freely: |
O Accomodation O Meals O Travel Tickets |
O Local Transportations O Courses O Other: __________ |
Could you Provide | O Sponsorship | O Grants |
Best Stage/Module Duration: |
O 2 weeks O 3 weeks O 1 Month O 2 Month2 |
O 3 Months O 6 Months O 1 Year O Other: _______ |
Languages: |
O Italian O English O Mandarin |
O French O Spanish O Other:_________ |
Are you interested in exchanging Teachers/Professors | O Yes | O No |
Are you interested in exchanging Students | O Yes | O No |
How many teachers could you host ? | ____________ |
How many teachers could you send ? | ____________ |
How many students could you host ? | ____________ |
How many students could you send ? | ____________ |
What kind of students would you like to receive? |
O BS O Master O PhD |
What kind of students are you sending ? |
O BS O Master O PhD |