Formulario Specialist para instituciones

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¡Tu institución puede tener un/a Specialist!

Solicitud para tener un/a Specialist

Institution Name *
Name *
Address *
Telephone Number *
Email *
City *
Title of project *
What academic field/employment sector is the focus of this project? *
What specific specializations within your academic field/employment sector best match the focus of your project? (up to 5 specializations) *
Within what department of your institution will the project take place? (e.g. Program Development, Human Resources, etc) *
What is the issue or challenge that you are trying to address with assistance from a Fulbright Specialist? (limit of 500 words) *
What are the primary objectives that you aim to achieve with the Fulbright Specialist? (3 objectives) *
Please provide a brief description of the proposed project activities, including a list of specific tasks that the Fulbright Specialist would carry out during his/her time with your institution. Please also include the type of individuals or audience that the Specialist would be working with (e.g. faculty/professionals, students, government officials, etc.). (Limit of 1000 Words) *
How does this project align with your institution’s priorities and what do you believe will be the project’s overall impact on your institution? In addition, how will the project promote continued linkages between your institution and the Fulbright Specialist and his/her host institution following the return of the Fulbright Specialist to the U.S.? (Limit of 500 words) *
Please list the location(s) where the Fulbright Specialist would conduct their work (e.g. the primary location of your institution, multiple sites around the country, etc.). Please be specific and include the exact addresses where the majority of work will occur. With the exception of projects falling under a trilateral grant initiative, Fulbright Specialist projects are restricted to one country. All project activities must take place in the country requesting the project. *
Is this a Multi-Visit (serial) project? *

Yes

No
Primary point of contact for all accommodations for the Fulbright Specialist (full name, number, email) *
Total visit cost share *
Please describe the type of lodging that you would arrange for the Fulbright Specialist. Please note that all lodging accommodations must be made in advance of the Specialist’s travel. If the Specialist will be paid directly for their lodging accommodations, please indicate the amount to be paid per day for lodging. *
Lodging Type *
Lodging Accommodation *
Start date *
End date *
If the lodging accommodation is not available for the full duration of the Specialist’s stay, please describe the alternative lodging accommodations that you intend to arrange. *
What is the estimated cost of the lodging accommodation in U.S. dollars? *
Is your institution able to fund the cost of the lodging accommodation? *

Yes

No
Please describe the in-country transportation arrangements for the Fulbright Specialist. The arrangements should include transit to and from the Specialist’s lodging and project site, as well as other local daily travel (e.g. restaurants, markets, grocery stores, pharmacy, etc.). If the Specialist will be paid directly for the transportation expenses, please indicate the amount to be paid. *
What is the estimated cost of the in-country transportation in U.S. dollars? *
Is your institution able to fund the cost of the in-country transportation? *

Yes

No
Please describe the meal arrangements (three meals per day) for the Fulbright Specialist (e.g. cafeteria, restaurants, etc.). If the Specialist will be paid directly for the meals, please indicate the amount to be paid. *
What is the estimated cost of the meals in U.S. dollars? *
Is your institution able to fund the cost of the meals? *

Yes

No
What airport in your country do you recommend that the Fulbright Specialist travel to and from? *
Please describe the arrangements for the Specialist’s arrival and pick-up from the airport, including the name of the person that would greet the Specialist. In addition, please provide any special notes or instructions that would assist the Specialist in preparing for his or her arrival. *
Academic Field/Employment Sector *
Specialization(s) *
Will any project activities require that the Fulbright Specialist be proficient in a language other than English? *

Yes

No
Language
Reading level
Writing level
Speaking level
What qualifications, professional experience or specific skills would be helpful for a Fulbright Specialist to have in order to successfully implement the proposed project? Please be as specific as possible to support the identification of appropriate Specialists. (Limit of 500 words) *
Have you pre-identified an individual you propose to serve as the Fulbright Specialist for your project? *

Yes

No
Fecha y hora

Comisión Fulbright Perú

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Fulbright 2022

Teléfono: 475 3083

Email: mfernandez@fulbright.pe

Dirección: Romero Hidalgo 444, San Borja

Horario de atención:

Martes: 2:00 pm a 4:00 pm

Jueves: 9:00 am a 12:00 pm y 2:00 pm a 4:00 pm

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