Hub2Hub Academic Exchange Program USA

Through this registration form you can apply for the Hub2Hub Academic Exchange Program. If you have any remaining questions about the program or your application, please contact us.

Applications will be accepted immediately and selections will be made on a continous basis.

Mr. / Ms. *

First name *

Last name *

Affiliation, City

Position at institution

I am a candidate (please tick the appropriate box(es))

Traveller

Host

A visiting or hosting period typically varies between the 2 till 8 weeks

Please indicate the planned duration of the stay in weeks

Please indicate which period you would like to travel

From:

Till:

Please indicate during which period you would like to host

From:

Till:

Additional remarks

Applicant's Profile

Short personal profile (max 200 words), including 5 key words

personal profile:

Identify 1- 3 areas of complementarity that you would like the overseas partner to make available (key words). In case you wish to come into contact with specific research groups, please state name and affiliation below

complementary areas:

State your expectations and desired output of the exchange program

expectations and desired output:

Interest in supplementary activities (visits, scientific meetings, personal meetings)

supplementary activities:

Please state if you would like to receive help from the organization:

I would like to recieve help with:

When selected for the program, I am prepared to sign a declaration of commitment

Yes

Please attach your Curriculum Vitae to the application form.

Email address *

Ticket

€ 0.00

Total: € 0.00

symposium registration

Hub2Hub Academic Exchange Program USA

Registration fee options

Hub2Hub Academic Exchange Program USA

aanmelder.nl is event registration made easy