Institution Information

Institution Name *

Department/Center/Division

City *

Country *

Type of Institution: Please indicate your institution type. If you represent a center or institute applying on behalf of your college or university, your answer should pertain to that college or university. *

University or professional school (significantly or primary focus on graduate education)

College or technical school (primarily focused on undergraduate education)

Independent research institute or think tank

Ministry or government agency

Other

Faculty/Research Liaison Contact Information

In the following section, please provide contact information for a faculty member, who will function as an academic liaison to the Council for European Studies (CES) on your campus or at your institution.

This person should have the capacity to, and be willing to, share CES publicity materials with a wider audience at your institution or your campus.

Faculty/Research Liaison First Name *

Faculty/Research Liaison Last Name *

Title

Rank (if applicable)

Faculty/Research Contact Email Address *

Confirm Email Address *

Phone Number *

Primary Discipline *

Secondary Discipline

Other Discipline:

Language(s):

Administrative Liaison Contact Information

In the following section, please provide contact information for an administrator, who will function as the liaison to the Council for European Studies (CES) on your campus or at your institution.

This person should have the capacity to, and be willing to, share CES publicity materials with a wider audience, as well as be able to see through annual membership payments at your institution or on your campus.

Administrative Liaison First Name *

Administrative Liaison Last Name *

Title

Rank (if applicable)

Administrative Contact Email Address *

Confirm Email Address *

Phone Number *

Primary Discipline (if applicable)

Secondary Discipline (if applicable)

Other Discipline:

Language(s):

Additional Information

Please list all centers/institutes, majors or programs at your institution which directly aim to support the study of Europe or closely related subject areas.

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10.	Name	URL