Workshop Form
● Please, if possible, submit this form at least two months before the time period in which you would like to present the workshop.
Title
Name *
Your answer
Email address *
Your answer
University/Institute/Company *
Your answer
Department/Group/Section *
Your answer
City *
Your answer
Country *
Your answer
Position *
Major/Field of Study *
Which university department does it relate to?
Date of Visit (From) *
Earliest date on which you can hold the workshop
MM
/
DD
/
YYYY
Date of Visit (To) *
Latest date on which you can hold the workshop
MM
/
DD
/
YYYY
City(ies) or specific university/institution you would like to host the workshop *
Your answer
Name and position of at least one other speaker
Your answer
Title of the workshop *
In English, Persian, or both
Your answer
Overview of the workshop *
Your answer
Comments
Anything you would like us to know when contacting you or arranging your workshop?
Your answer
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