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Hosting Agreement Form

This form is to clarify that your center/organization/program is willing to host the international rehabilitation expert named below. Visits occur as the result of a request from centers/organizations/programs that have a specific purpose for hosting the visiting expert. The purpose might be lecturing, joint research, technical assistance or other forms of collaboration. The host determines how long the traveler will stay and schedules the activities. The host organization provides lodging, meals and local transportation for the traveler. CIRRIE provides airfare for the traveler.

Please complete this form and return with the application to CIRRIE.

Name of Researcher:

We agree to host the above named traveler by funding lodging, meals, and local transportation while at our center/organization/program. We understand that travelers are expected to remain in the destination country for a minimum of seven days, during which time they will engage in collaborative activities.

Date:

Signature:

Title: