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2009 - 2010 CIC-TEP Annual Report Form

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Please submit this form by November 19, 2009.

*Institution (and State):

Name and Title of Person Completing this Report

*Name:

*Title:  

*Phone:

*E-mail:

Number of applications received before April 1, 2009:
(Note: Do not include renewal applications)

Number:

Number of applicants accepted into CIC-TEP:
(Note: Do not include award offers that were turned down.)

Number:


Please report CIC-TEP imports and exports only.

IMPORTS

New

Student Name
(last name, first name)
Exporting Institution
State
1.
2.
3.
4.
5.

For six or more students, please use box below (include full name, exporting institution, and state):


Renewed

Student Name
(last name, first name)
Exporting Institution
State
1.
2.
3.
4.
5.

For six or more students, please use box below (include full name, exporting institution, and state):


EXPORTS

New

Student Name
(last name, first name)
Importing Institution
State
1.
2.
3.
4.
5.

For six or more students, please use box below (include full name, importing institution, and state):


Renewed

Student Name
(last name, first name)
Importing Institution
State
1.
2.
3.
4.
5.

For six or more students, please use box below (include full name, importing institution, and state):


Do you have any suggestions about how we can improve the Tuition Exchange Program? If so, please tell us:

or

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