Request for Appointment of An American Fulbright Scholar

HOST INFORMATION:

1) Name and address of contact person(s) at institution:

2) Telephone numbers:

3) Fax numbers:

4) E-mail addresses:

DISCIPLINE/QUALIFICATIONS:

5) Subject expertise desired:

6) Specializations desired within subject area:

7) Qualifications preferred (degree, number of years of teaching experience, academic rank):
- Is there flexibility regarding qualifications?
- Will professionals (rather than academics) be considered?

8) Language proficiency (if other than English) that is required (fluent, conversational):

ASSIGNMENT:

9) Check type of award:

___ Lecturing ___ Research ___ Lecturing/Research ___ Seminar

10) Length of grant:

11) Starting date:
Preferred arrival date:

12) Dates of academic terms and holidays:

13) Number of courses to be taught (if applicable) and their format (i.e. one seminar, one introductory lecturing course, etc.)
Number of meeting hours per week per course:

14) Average size of class:

15) List courses to be taught and the level (introductory, advanced, masters, doctoral):

16) Do students purchase books for classes?  If not, how are reading assignments normally handled?

17) Are other duties assigned to the grantee?  If so, list (i.e. curriculum development, tutorials, thesis advising, etc.)

18) If possible, attach a list of faculty members in the department and their research areas.

FACILITIES/SERVICES:

19) Type of computer facilities available:

20) Is office space available?

21) Is secretarial assistance available?

22) Are interpreters provided (if applicable)?

23) Other information of interest about facilities:

HOUSING:

24) Is housing provided?

25) If housing is not provided, is assistance given in finding housing? 

26) Approximate monthly cost of housing (range):

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Name of person providing this information.                       Date

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