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.
Sign in to Google to save your progress. Learn more
Title
Name *
Email address *
University/Institute/Company *
Department/Group/Section *
City *
Country *
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 *
Name and position of at least one other speaker
Title of the workshop *
In English, Persian, or both
Overview of the workshop *
Comments
Anything you would like us to know when contacting you or arranging your workshop?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.