*First Name:
*Last Name:
Street:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
*Email:
At which institution are you currently working? If you have already left North America, at which institution were you working during your stay?
Which department are/were you with?
What is/was your position or job title?
Please choose your Academic Discipline:
Human Sciences
Life Sciences
Natural Sciences, Technology & Engineering
Social Sciences
Please give details on your specific field/focus:
How long are you planning on staying/did you stay in North America?
From
/
To
/
Which institution in Austria did you work with last?
Are you in touch with fellow Austrian scientists/scholars in North America? If so, please let them know about the OST Scientist Network, or provide us with their names and email addresses:
What are your expectations of the OST Scientist Network? How could we best support you?
What influenced your decision to work in North America?
Please provide us with your most important publications!
Any additional comments or questions for the OST?
* = required field