International Office, Faculty of Arts, Charles University (FA) / to be delivered 14 days after departure from the Faculty of Arts

Final report on a stay at the Faculty of Arts

Name and surname (titles):

Home institution:

Hosting Department at FA:

Details about the stay:

Dates of stay at FA:

Purpose and summary of the stay, benefit (please specify):

Contribution during the stay (check the appropriate option(s)):

[] Tuition (please also give the title):

[] lecture

[] guest lecture (“visiting professor”)

[] conducting a practical seminar

[] other (please specify)

[] Participation in a joint project (please give its name):

[] project preparation

[] project presentation

[] project realization

[] project evaluation

[] other (please specify)

[] Conferences / workshops (please give their names):

[] attendance

[] presentation (paper, panel discussion etc.)

[] poster presentation

[] abstract in printed conference-related materials

[] other (please specify)

[] Published works (please give their titles):

[] article / paper as part of a collection of papers

[] monograph

[] chapter

[] article in technical and professional press (journal, daily newspaper)

[] other type of published work (please specify)

[] Establishing new/further cooperation (please specify)

[] other (please specify)

The travel took place as part of:

an inter-university agreement

an inter-faculty agreement

an inter-governmental agreement

LLP/Erasmus

a project/grant

other

Date:	Guest’s signature: .........................................

Host’s signature: .........................................