2013 AS&S Science, Technology, Engineering & Mathematics (STEM): India

AS&S Internship Program 2013


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--------------------Institutional Staff Recommendation Form for Students (AS&S STEM-2013)...................
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For assistance, please contact:

ASS&S Tel and Fax : 033-4070-3382
................Email: bhattacharyas@asciencesociety.org
................Web: www.asciencesociety.org

HCS Web:www.harlemchildrensociety.org

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...................................................INSTITUTIONAL STAFF INFORMATION...................................................
Suggestion:
For each recommended student, some of the fields in this section may have to be re-entered, e.g. School Name. In order to facilitate the process, consider using a text editor to contain the repeated information. Then use copy and paste to enter the repeated information into the appropriate fields.

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* 1. Type of Institute

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* 2. School/College/University/Institute Name

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* 3. Recommending Staff Member Name

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* 4. Gender

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* 5. Recommending Staff Member Title

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* 6. Recommending Staff Member Email Address

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* 7. Recommending Staff Member Phone Number (Land line)

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* 8. Recommending Staff Member Phone Number (Mobile/Cell)

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* 9. Recommending Staff Member Position

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* 10. Recommending Staff Member Field and Subject of Research Expertise

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* 11. Recommending Staff member affiliation to Research/Scholastic/Educational Society

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