Report CIMPA COURSES

Fill in this report with your favorite text editor. The final document has to be converted to a pdf file. 

I. Host Institution
Country: 
Town:
Name and address of the host institution (university ou equivalent):
Name and address of the host department or laboratory:
II. Course 
Title:
Give a summary of what was taught:
Duration: 
Level of the course:
III. Teacher
Name:
Firstname:
Institution: 
IV. Mission and funding
Dates of stay:
Details and amount of expenses reimbursed by CIMPA: 
Details and amount of expenses covered by the local institution:
Details and amount of expenses covered by other sources. Highlight the amounts received by CIMPA State Members governments (either direct or through universities or embassies, etc.):  
V. Opinion on the follow-up of your mission and other comments 
VI. Participants
Please provide a list of them with their names, gender, level and emails
VII. Some pictures 
With the full group of participants and some of the blackboards during the lecture. If slides are used, please send us the pdf.