new partner form


If your institution is interested in joining the ATHENA Network, you can contact the central coordination through filling out and submitting the form below.

You may also download the Word version of this form. This can be faxed to number +31-30-253.66.95, or posted to the address given on the contact page.

  1. Full legal name of the institution in the national language:

  2. Acronym of the institution, if applicable:

  3. Full name of the Institution in English, if possible:

  4. Website:

  5. Fax:

  6. Telephone:

  7. E-mail:

  8. Department/Unit:

  9. Type of institution:

  10. Address:

  11. Zip code:

  12. Country:

  13. Town / City:

  14. Main areas and type of activities:

  15. Expertise of the institution in the field covered by the project and experience in cooperation at local, regional, national and transnational level:

    Contact person:
  16. Function:

  17. Last name:

  18. First name:

  19. Gender: