International office visitor enquiry form

Name of Key Contact person for proposed Visit:

Title

Mr
Mrs
Miss
Dr
Prof

First name:

Preferred Name:

Alternative name that you prefer to known by.

Last name:

Position:

Organisation

Phone number:

Fax:

Email:

Proposed Visit Details

General delegation details with arrival and departure date and times to and from Massey University

Massey University Campus(es) being visited:

Manawatu Campus (Palmerston North) Location of the Vice-Chancellor; Assistant Vice-Chancellor Operations, International and University Registrar; and the International Office
Albany Campus (Auckland)
Wellington Campus (Wellington)

Please enter your proposed Arrival and Departure time frames, Cities and Flight Numbers.

Arrival Date:

(dd / mm / yyyy)

Proposed Arrival time at Massey University

Departure time from Massey University:

Contact details in New Zealand (if known):

Hotel telephone/ Mobile number:

Number of visitors:

Name of the visitor or leader of delegation (Title, Name, Position, Organisation, Phone, Email)

Names of delegation/visitors in the following order: Title, First/Given Name, Family Name, Position, and Institution.

Has the person/delegation visited Massey University before? If yes, please state who, when and which College or Area was visited.

Please list specific objectives of the visit and include topics of interest for discussion so that appointments can be made with the appropriate Academic and General staff.

Propose new MOU or revise existing MOU
Joint teaching activities: Articulation partnership
Joint activities: Pathway Programmes
Joint activities: Distance and or Blended learning
Exchange of Academic staff
Joint research
Group Course Delivery
Exchange of students
Study Abroad

if other please specify:

Please identify the proposed areas of Massey you hope to visit. Colleges and Departments can be identified via the following link: https://www.massey.ac.nz/massey/learning/colleges

Business
Science
Education
Creative Arts
Humanities
International Office
Professional & Continuing Education
University Accommodation

if other please specify:

For each college/area indicated please provide:

College/Area:
Area of Interest:
Objective:
Staff Member you would like to meet:

Background information of your institution/ organisation/ group:

Who else will the delegation be visiting.

i.e. Other Universities, Government Agencies, other organisations:

Is a letter of invitation required from Massey University for Visa purposes:

Yes
No

If YES, provide the following information for EACH member of the visiting group:

Please include: Title, First Name, Surname, Date of Birth, Male or Female

Provide details of who the Letter of Invitation (if required) should be sent to:

Title, Name and address

Any additional information:

Please note:

All visitors requesting a visit to Massey University must complete this form giving at least one month prior notice to the date of visit.
For the delegation to receive maximum benefit from their visit, international visitors in particular should either have the ability to communicate in English or be accompanied by an interpreter. Massey University is not always able to provide interpreter services.
This form will be received by Kerrie Simonsen Massey University International Office.

Email Address

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International Office Visit Application Form