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Activity Form

Information about the proposer:

Name and Surname and Title:

Address:

Institution:

Duty:

Phones:

E-mail:

Internet page:

About the project:

Name of the project:

Addressing (age, level etc.):

Duration (per number of weeks, our weeks start on mondays):

Purpose of the project in a few lines:

Number of educators/researchers:

Number of students (if ever):

Number of students that you can provide:

Number of outsider students that you want to accept:

Your Financial Sources:

Equipment you need for the project:

Other: