HippoCampus
Instituut voor Equitherapie en Hippische Sportpsychologie
Submission Data Base
Leonardo Da Vinci Project
A European qualification framework for practice
and training in
Animal Mediated Assistance and Therapy (AMAT)
With this form you can give up a contact address for the
DATA BASE of Contacts for AMAT
(networking and dissemination of result and contact persons)
At the beginnning you can
choose
to submit an
an individual person or
an organziation.
Send form to
Data Collection Coordinator
Group Data Collection
Name individual person submitted:
Affiliated to organisation:
Name Organisation submitted:
Name Contact person within Organisation:
This is a contact for:
*
Practitioner AMAT
Organisation AMAT
Scientific contact
Decision maker
Scientific Press
Public Media
Other (please specify in following field)
Namely:
Function/Competences:
*
Address of submitted contact:
*
Postal Code:
*
City:
*
Country:
*
Phone:
*
E-mail:
*
Homepage(s):
Submitted by:
*
Partner country:
*
Belgium partner
Dutch partner
German partner
French partner
Slovakian partner
Polish partner
other
Date of submission:
*
Comment:
Wants to get summary of project results :
A
*
behind a field, means that this field is required!
