EAHW Partnership Expression of Interest Form

Use this form to express an interest in becoming a partner to the EAHW proposal. Fill in all the fields as concisely as possible. Please note that the information you provide will be logged on a world-readable Web page.


1 Organisation details

Legal Name

Department

Organisation type and size (No of employees)
Organisation address

Postcode City Country

2 Contact Details

Name of contact person
Position in organisation

Phone Fax E-mail

3 Your expertise/experience details

Description of expertise:
please specify what expertise your organisation can contribute to the EAHW Project

Areas of interest:
please specify which of the proposed EAHW services you are interested in, and what role you would like to play (e.g., running a pilot project, providing a mirror site, etc.)


4 Funding details

Do you expect your organisation will be able to match at least 50 per cent of the funding needed for your part in the EAHW Project?
Please or