"The highest result of education is tolerance." - Helen Keller, American author and educator who was blind and deaf.
THIS AGREEMENT, entered into this _____ day of ____________ 20 _____, by and between (First name) ________________ (Last name) _____________________________________ (hereinafter referred to as "_______________________________") of City ___________________State/Province ____________________ Zip/Postal _____________ Country _______________
(Name of HOME Institution . Your HOME base) ______________________________________________ (hereinafter referred to as "_______________________________________") of (location) _______________________________________________
AND (Your exchange partner of the HOST Institution . where you are being HOSTED:)
(First name) ___________________ (Last name) _____________________ (hereinafter referred to as "_________________") of City ____________________ State/Province ______________ Zip/Postal __________ Country _____________________
(HOST Institution) _________________________________ (hereinafter referred to as "______________________________") of (location) _________________________________________
WITNESSETH THAT:
We desire to promote the enrichment of their teaching, research and/or library programs; and
WHEREAS, we desire to strengthen and expand the mutual contacts between the two institutions, and
WHEREAS, we intend to promote the enrichment of their teaching, research and library programs and intend to strengthen and expand the mutual contacts between the two institutions through an exchange of faculty and/or staff between the two institutions; and
WHEREAS, we desire to provide for an exchange of faculty and/or staff between the two institutions on the terms and conditions hereinafter set forth;
NOW THEREFORE, it is mutually agreed as follows:
"Education is not the filling of a pail, but the lighting of a fire." -William Yeats
NAME of (Your) HOME INSTITUTION: _____________________________________________________________________________
_______________________________ _____________________________ ____________
HOME Faculty Applicant Print Name HOME Faculty Signature Date
NAME: First __________________________ Last _________________________ Title _______________
Office Ph:_______________________ Home Ph:_____________________ Fax:_________________
E-Mail Address: ___________________ Please confirm E-Mail Address: ___________________________
_______________________________ _____________________________ ____________
HOME Supervisor Print Name HOME Supervisor's Signature Date
_______________________________ __________________________ ___________________
HOME Supervisor's Title HOME Supervisor's E-Mail Address Home Supervisor Phone
_______________________________ __________________________ ___________________
Additional Supervisor: Title &Name E-Mail Address Phone
"We do not see things as they are; we see things as we are." - Talmud
NAME of HOST INSTITUTION (you will travel to): _____________________________________________________________
_______________________________ _____________________________ ____________
HOST Faculty Applicant Print Name HOST Faculty Signature Date
NAME: First __________________________ Last _________________________ Title _______________
Office Ph:_____________________________ Home Ph:____________________ Fax:____________________
E-Mail Address: ___________________ Please confirm E-Mail Address: ___________________________
_______________________________ _____________________________ ____________
HOST Supervisor Print Name HOST Supervisor's Signature Date
_______________________________ __________________________ ___________________
HOST Supervisor's Title HOST Supervisor's E-Mail Address HOST Supervisor Phone
_______________________________ __________________________ ___________________
Additional Supervisor: Title &Name E-Mail Address Phone
Please include your exchange partner's resume or C.V. an a statement regarding which courses in the HOME
curriculum the partner is qualified to teach .
If a faculty participant is unable to complete a full term at one of the institutions, please explain how this issue will be addressed:
Please describe any special considerations regarding this exchange proposal:
It is highly recommended a faculty/staff mentor from each institution assist the exchange partner:
_________________________________ ____________________________________ ____________
Printed Name of mentor at HOME: Signature of mentor at HOME Institution: Date
E-Mail of mentor at HOME Institution ____________________________________
_________________________________ ____________________________________ ____________
Printed name of mentor at HOST: Signature of mentor at HOSTInstitution: Date
E-Mail of mentor at HOST Institution ____________________________________