Online questionnaire
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Science Accueil
6 boulevard Dubreuil
91 400 - Orsay
Tél : +33 (0)1 69 33 16 85
Fax : +33 (0)1 69 07 21 53
contact@science-accueil.org

Online questionnaire

We need your answer to help you to find an accommodation.

If you have any problems with this questionnaire, send us an e-mail to: contact@science-accueil.org.  

  

Address of the visiting scientist

* : 
* : 
* : 
Sex (M/W) * : 
Date of birth * : Choose a date
 : 
 : 
 : 
* : 
* : 
Date of your PhD : Choose a dateClear date
* : 
Contact language : 

Dates and duration of your stay

Date of arrival * : Choose a date
* : 
To answer this request, person to contact : 

Address of the laboratory

* : 
* : 
 : 
* : 
 : 
 : 
 : 
* : 

Request(s)

Your request(s) : 
 : 

For housing (Only furnished)

Type of accommodation : 

For the room

Bathroom : 
Kitchen : 
Do you smoke? : 

For all housing

 : 
 : 
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Will you have a car? : 
 : 
Will you have a pet ? : 
 : 
* : mandatory field

C.N.I.L. (Commission Nationale de l'Informatique et des Libertés) : the information about yourself kept in the files of Science Accueil may be given to scientific or technical public establishements, to French embassies abroad, to the Fondation nationale Alfred Kastler as well as to franco-foreign research associations. You can ask for or get this information corrected or suppressed, eventually, in accordance with the law in force on computer science, files and rights (law 78-17 / 6 January 1978). This questionnaire is compulsory. Without any answer from you, your form will be kept in the computer file.

You can download the resolution of the District council about the creation of a datafile with information about names (in french).