Visitors Request Form

In order to maximise your experience we feel completion of our questionnaire is necessary to help you focus on what you would like to see during your visit.

Your Details

Name *

Organisation

Address

Telephone

Fax

Email *

About Your Visit

What is the purpose of your visit?

What are the proposed dates for your visit? (This does not guarantee we will be able to meet these dates)

How long do you want your visit to be?

Who would be included in your visit from your institution? Please give names and roles within home institution.

Which of our facilities would you like to visit? Clinical Skills CentreCuschieri Skills School of Dentistry Clinical SkillsCentre for Medical EducationOther

If other please state

Who would you like to meet? (Names and/or areas of expertise)

What issues/topics would you like to discuss on your visit?

How will Dundee benefit from your visit?

Would you be prepared to deliver an educational research seminar to Dundee staff and if so, what would your title be?

What happens after the visit? What plans are there to develop ongoing relationships/collaborations with Dundee?

What do you expect participants to gain from the visit?

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