Webinar Request

Webinar Request

Please use this form to give us a few details about the webinar you would like to offer in your institution and (if applicable) register to our database of schools.
Name of the institution*
Is the insitution already registered in Lecturers Without Border's database?*

YesNot yet
Would you like to offer a webinar to your students in the near future?*

Yes, please!Not yet, I'll keep you posted!
No problem! We'll keep you posted about the educational activities we're developing and you'll have the chance to register in the future.

Please provide an email address that we can use to contact you in the future:
Email*
example@example.com
About the institution

In order to organize webinars and lectures for your institution, we will need some information about it for our database (which we will not share with anyone unless specifically authorized by you). Please fill out all the details below:
Type of institution*

High SchoolUniversityEducational AssociationOther
Country*
City*
About the students
Age of the students*

Secondary school (10-12 years old)High school (13-18 years old)University students (18+)Other
Language of the students (please specify both native language and any other language the students can understand)

ChineseEnglishFrenchGermanItalianJapanesePolishPortugueseRussianSpanishOther
Contact person
Name*

First NameLast Name
Position*
Email*
example@example.com
Other contact information (optional)
Any further comments?
About the webinar(s)

Please tell us a bit more about the webinar(s) you'd be interested in. We will use this information to find the appropriate lecturer and time for the intervention. Please note that you can schedule a maximum of 3 webinars and will be required to select all possible dates and times for each of them.
I'd like to request..*
Webinar 1
Topic of interest*
If chosen from our catalogue, please use the name of the webinar as stated in the catalogue
Language preferred*
Age of students*
Prior knowledge of the subject*
Available dates and times (preliminary)*
Webinar 2
Topic of interest*
If chosen from our catalogue, please use the name of the webinar as stated in the catalogue
Language preferred*
Age of students*
Prior knowledge of the subject*
Available dates and times (preliminary)*
Webinar 3
Topic of interest*
If chosen from our catalogue, please use the name of the webinar as stated in the catalogue
Language preferred*
Age of students*
Prior knowledge of the subject*
Available dates and times (preliminary)*
Do you have your own online platform?*
Special requests - extra information
Optional
About the organizer

The organizer is the person in charge of the webinar (e.g. one of the teachers) who will be present during the webinar, supervise the students and do a follow-up with them after the webinar. Please provide their details below:
Full name

First NameLast Name
Email*
example@example.com
Position
Thank you for this information! We will contact you very soon to discuss further.
Should be Empty:

Webinar Request

About the institution

About the students

Contact person

About the webinar(s)

Webinar 1

Webinar 2

Webinar 3

About the organizer