University of Alberta (Office use only) Date Recieved ... · CV/resume Published research and/or...

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University of Alberta Faculty of Kinesiology, Sport and Recreation Information Collection Form: Academic Scholars and Visitors Form Submission Date: (MM/DD/YYYY) Last Name First Name Birth Date ( MM/DD/YYYY) E-mail Address Gender Citizenship Country of Birth Country of Residence Name of Current Employer or Post- Secondary Institution Highest Level of Education Completed Area of Interest Professor of Interest Expected Start Date of visit (MM/DD/YYYY) Expected End Date of visit (MM/DD/YYYY) Have you previously visited the University of Alberta previously?? Yes No If yes, what was the purpose of your past visit? (Office use only) Date Recieved:

Transcript of University of Alberta (Office use only) Date Recieved ... · CV/resume Published research and/or...

Page 1: University of Alberta (Office use only) Date Recieved ... · CV/resume Published research and/or articles - sample (if applicable) Scanned picture/copy of your passport Proof of financial

University of Alberta Faculty of Kinesiology, Sport and Recreation Information Collection Form: Academic Scholars and Visitors

Form Submission Date: (MM/DD/YYYY)

Last Name First Name

Birth Date ( MM/DD/YYYY) E-mail Address Gender

Citizenship Country of Birth Country of Residence

Name of Current Employer or Post-Secondary Institution Highest Level of Education Completed

Area of Interest Professor of Interest

Expected Start Date of visit (MM/DD/YYYY) Expected End Date of visit (MM/DD/YYYY)

Have you previously visited the University of Alberta previously??

YesNo

If yes, what was the purpose of your past visit?

(Office use only) Date Recieved:

Page 2: University of Alberta (Office use only) Date Recieved ... · CV/resume Published research and/or articles - sample (if applicable) Scanned picture/copy of your passport Proof of financial

Financials

How do you plan to fund your visit the the University of Alberta?

(Please select from below drop-down menu.)

If other, please explain.

Appointment (duties and activities)Please describe in detail your work current experiences, skills, and research area.

Page 3: University of Alberta (Office use only) Date Recieved ... · CV/resume Published research and/or articles - sample (if applicable) Scanned picture/copy of your passport Proof of financial

Please describe in detail the main duties and activities you plan on carrying out while at the University of Alberta.List at least three objectives you hope to complete or acheive from this visit.

Thank you for the information. We will use it to better match you with our programs.Please attached all the following documents.

Checklist: Attached DocumentsCV/resumePublished research and/or articles - sample (if applicable)Scanned picture/copy of your passportProof of financial support

Please forward all documents to: [email protected]

Faculty of Kinesiology, Sport and Recreation International and Community Education

University of Alberta

Protection of Privacy - The personal information requested on this form is collected under the authority of Section 33 (c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act. It will be used for the purpose of documenting incoming international partnership, researchers, and professor to the Faculty of Physical Education and Recreation. Direct any questions about this collection to: International and Community Education Office 3-116 University Hall Van Vliet Complex, University of Alberta, Edmonton, T6G 2H9, Canada. 780-492-6009.