Delegation Visit Request

Visit Request Form

First Name *

Last Name *

Email *

Name of Institute or Organization *

Country of Institution or Organization *

Delegation profile *

Academic

Government

Corporation

OtherOther

What are your objectives in visiting MIT? *

Size of the delegation *

Delegation members (Please provide the names and titles of the members of your group) *

Proposed date of visit *

Have you any scheduling restraints? *

Yes

If ‘yes’, please describe your schedule below.

Please indicate the specific department(s), lab(s), program(s), or office(s) with whom you would like to meet. *

Is there anything else we need to know?

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