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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.
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PERSONAL DATA
I am a
*
Choose
Visiting Professor
Visiting Scholar
Visiting PhD student
Name(s)
*
Your answer
Surname
*
Your answer
Place (city and state) and date of birth
Your answer
Academic and Professional title(s)
*
Prof., Dr., MD, etc.
Your answer
Home Institution
*
Name of the University you come from
Your answer
Department
*
Your answer
Address of the Department
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Street, ZIP code, City, State
Your answer
Telephone Number
Your answer
e-mail address
*
Your answer
Web site
Your answer
Brief Academic CV
*
max 300 words
Your answer
ACTIVITIES CARRIED OUT AT UNIPV
Short/Long visit
*
Choose
Short (up to 3 months)
Long (more than 3 months)
Seminar
*
Title of the Seminar (write "no" if your are not teaching/attending a Seminar at UNIPV)
Your answer
Regular teaching activity at the University of Pavia
*
Yes
No
(If "Yes" above) Title of the Course
*
Title of the course you are teaching at UNIPV (if any; otherwise type "no")
Your answer
Research Activity at the University of Pavia
*
Yes
No
Research Field
*
Type your research field
Your answer
Other activities at the University of Pavia
(maximum 300 words)
Your answer
Activities at the University of Pavia connected to a specific PhD course offered by UNIPV
*
Yes
No
Title of the PhD course
If "Yes" above, type the name of the PhD course. Otherwise type "no"
Your answer
DATA OF PROPONENT/SUPERVISOR AT UNIPV
Name and Surname
*
Name and Surname of proponent/supervisor at UNIPV
Your answer
Academic Title
*
Academic Title of proponent/supervisor at UNIPV
Your answer
Department
*
Department of proponent/supervisor at UNIPV
Your answer
Address
Address of the Department of the proponent/supervisor at UNIPV
Your answer
Telephone Number
Tel. number of proponent/supervisor at UNIPV
Your answer
e-mail address
*
e-mail address of proponent/supervisor at UNIPV
Your answer
Hosting Department at UNIPV
*
Your answer
Address, telephone number, contact person (if different from proponent/supervisor )
Your answer
Head of the hosting Department of UNIPV
*
Name and Surname of the Professor
Your answer
OTHER INFORMATION
External fellowship/grant
Yes
No
Clear selection
Erasmus grant for teaching staff mobility from home University
*
Yes
No
UNIPV fellowship/grant
Yes
No
Clear selection
If yes above, please indicate the amount
If there is a grant, please indicate its amount
Your answer
Taxation
Italian
Other
Lenght of stay
*
Your answer
Date of arrival and departure (if established)
*
Your answer
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.
Yes
No
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
Choose
YES
NO (you may use the authorization letter above mentioned)
SENDING INFORMATION
That's all! Click below on "INVIA" to send the form to the International Relations Office of the University of Pavia.
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