Visiting Professors and Visiting Scholars
Professors and scholars visiting the University of Pavia may fill this form. A copy of it will be sent automatically to the International Relations Office of UNIPV when filled. Some information (those ones with a red asterisk) will be published on the web page of the International Relations Office, so that it will be possible to have a clear glance about the number of scholars in Pavia and the teaching/researching activities they are conducting at the University of Pavia.

All UNIPV Departments are invited to publish a link to this form on their web site.

The Head of the hosting Department of UNIPV should be informed and authorize the visit.



Sign in to Google to save your progress. Learn more
PERSONAL DATA
I am a *
Name(s) *
Surname *
Place (city and state) and date of birth
Academic and Professional title(s) *
Prof., Dr., MD, etc.
Home Institution *
Name of the University you come from
Department *
Address of the Department *
Street, ZIP code, City, State
Telephone Number
e-mail address *
Web site
Brief Academic CV *
max 300 words
ACTIVITIES CARRIED OUT AT UNIPV
Short/Long visit *
Seminar *
Title of the Seminar (write "no" if your are not teaching/attending a Seminar at UNIPV)
Regular teaching activity at the University of Pavia *
(If "Yes" above) Title of the Course *
Title of the course you are teaching at UNIPV (if any; otherwise type "no")
Research Activity at the University of Pavia *
Research Field *
Type your research field
Other activities at the University of Pavia
(maximum 300 words)
Activities at the University of Pavia connected to a specific PhD course offered by UNIPV *
Title of the PhD course
If "Yes" above, type the name of the PhD course. Otherwise type "no"
DATA OF PROPONENT/SUPERVISOR AT UNIPV
Name and Surname *
Name and Surname of proponent/supervisor at UNIPV
Academic Title *
Academic Title of proponent/supervisor at UNIPV
Department *
Department of proponent/supervisor at UNIPV
Address
Address of the Department of the proponent/supervisor at UNIPV
Telephone Number
Tel. number of proponent/supervisor at UNIPV
e-mail address *
e-mail address of proponent/supervisor at UNIPV
Hosting Department at UNIPV *
Address, telephone number, contact person (if different from proponent/supervisor )
Head of the hosting Department of UNIPV *
Name and Surname of the Professor
OTHER INFORMATION
External fellowship/grant
Clear selection
Erasmus grant for teaching staff mobility from home University *
UNIPV fellowship/grant
Clear selection
If yes above, please indicate the amount
If there is a grant, please indicate its amount
Taxation
Lenght of stay *
Date of arrival and departure (if established) *
AUTHORIZATION
Authorization to publish information *
I authorize the University of Pavia to publish the above obligatory information (marked with an asterisk) on the University Web site.
Authorization of the Head of the Department *
I confirm my visit has been authorized by the Head of the Department. If not and you need an autorization letter, you can download it from the web site of the International Relations Office
SENDING INFORMATION
That's all! Click below on "INVIA" to send the form to the International Relations Office of the University of Pavia.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Università degli Studi di Pavia. Report Abuse