n e w   p a r t n e r   f o r m

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

When using this online form, make sure your correct name and e-mail address are filled out in your browser's preferences (under Edit > Preferences > Mail > Identity). It may be handy to print the filled-out form for your own archives.

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 Athena Central Coordination, International Office Women's Studies, Utrecht University, Muntstraat 2A, 3512 EV Utrecht, The Netherlands.

  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:

    Date: