Request for Visitorship Please complete all fields. If you have any questions, do feel free to e-mail us. Information Title * Mr. Mrs. Miss Ms. Dr. * Yes No Family name * Given name(s) * University Department Address Position Phone (Work) Fax (Work) Address (Home) Phone (Home) Email * Area of study * Do you hold a research grant? Yes No If yes, from which funding agency? Accommodation For information on campus residences or for help finding a suitable place to live, please consult www.residence.uottawa.ca/fr/index.html. Note: The Institute of Indigenous Research and Studies is not responsible for housing arrangements. When do you plan on visiting the Institute and for how long? If we do not have any office spaces available, would you still be interested in getting Wi-Fi Access? Yes No If we do not have any office spaces available, would you still be interested in getting Library privileges? Yes No Research project summary Please attach a brief summary of your research project (minimum 500 words, maximum 1500 words). We only accept Word and pdf files. * This field is required. File * Files must be less than 2 MB.Allowed file types: pdf doc docx. Message Curriculum vitae Please attach a short curriculum vitae (maximum 2 pages). We only accept Word and pdf files. CV Files must be less than 2 MB.Allowed file types: pdf doc docx.