UNIVERSITY REQUEST FORM FOR A U.S. FULBRIGHT SCHOLAR ACADEMIC YEAR 2020-2021
To be completed by prospective host institutions.

Host institutions are encouraged to submit completed form(s) to the Fulbright Commission before NOVEMBER 15, 2018. This request form (as well as guidelines for filling it out) can be accessed from http://www.fulbright.hu/hosting-us-grantees

• Please complete and submit one form for each separate request.
• Please provide as much of the following information as possible.
HOST INSTITUTION INFORMATION
Institution name: *
Your answer
Contact person(s) at institution for this award: *
Your answer
Address (department, complete address): *
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Telephone number(s): *
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Fax number(s):
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E-mail address(es): *
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University website address: *
Your answer
CATEGORY
Requested Category: (Researcher / Lecturer / Researcher & Lecturer) *
Your answer
FIELD
Field Requested: (e.g. American Studies or Economics or Mathematics, etc.) *
Your answer
SPECIALIZATION
Specialization desired within this field: *
Your answer
ACTIVITY
Grant activity: Please describe in detail your expectations for a visiting American scholar and the principal duties that will be assigned to the scholar. Please include the following if relevant: *
Courses, level (undergraduate or graduate), hours per week, average class size, type of course (lecture, seminar, etc.), materials required. / What other duties are assigned to the grantee? (e.g. tutorials, student advising, faculty training, curriculum development) / What research opportunities, if any, are available in the host department?
Your answer
QUALIFICATIONS
Desired Qualifications of Scholar: *
(Qualifications preferred - degree, number of years of teaching experience, academic rank, whether professionals/non-academics will be considered, level of experience expected)
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FACILITIES/SERVICES
Is office space available? *
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Is secretarial assistance available? *
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Other information of interest about facilities: *
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HOUSING (optional)
Is housing, furnished or unfurnished, provided? *
Your answer
If not, is assistance given in finding housing provided? *
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Who assists (give name, phone, fax and e-mail if different from contact person above)? *
Your answer
Approximate monthly cost of housing (range): *
Your answer
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