letter of collaboration request form
Post on 24-Jan-2022
15 Views
Preview:
TRANSCRIPT
Introduction
LetterofCollaborationRequestForm ThisformwillcollecttheinformationneededtodraftaLetterofCollaboration(LOC).Pleaseensurethedatayouprovideisaccurateandcomplete.Youmaysavethisformandreturntoitatalaterdateusingthesamecomputerandbrowserfromwhichyouinitiatedtheform.Thelinktothisformwillexpireafterthreemonthsofinactivity. UsethisformonlyforLettersofCollaboration.PleasecontactInternationalAffairsifyouwishtoenterintoadifferenttypeofagreement. Youcannavigatetheformbyclicking intheupperleftareaofthescreen.You'llfindforwardandbackbuttonsatthebottomofeachpage,alongwithanindicatorshowingyourprogressthroughtheform. WeuseDocuSigntocollectsignatures,aswellastodistributefully-executedcopiestoallsignatoriesandotherdesignatedrecipients.Pleasebesuretouseworkemailaddressesforallpartiestothisagreement.WecannotdistributeLettersofCollaborationtopersonalemailaddresses.
AbouttheSubmitter
AboutYouAreyouthefacultymemberdevelopingandconductingthiscollaboration?
Ifyouarecompletingthisformonbehalfofthefacultymemberorganizingthecollaboration,pleaseprovideyourinformationsowecancontactyouwithquestions.
Iamthepersondevelopingtherelationship.
Iamsubmittingthisrequestonbehalfofsomeoneelse.
FirstName
LastName
OSUEmailAddress
OSUPhoneNumber
OSUAdministrativeLeadRole
PurposeofAgreement
PurposeoftheAgreementListanyanticipatedareasofcollaboration,activities,andresearchcoveredbythisagreement.
AreyouawareofanycurrentorpastcollaborationsbetweenOSUandthispartner?
OSUAdministrativeLead
Yes
No
Pleasedescribethenatureandstatusofthesecollaborations.
PartnerInstitutionInformation
PartnerInstitutionNameandAddressPleaseusethefullnameofthepartnerinstitution,inEnglish,andthemainaddressoftheinstitution.Thisinformationprovidedwillbeusedtodrafttheagreement,andwillbeusedinaddressingemailcommunications.
PartnerInstitutionFullLegalName
AddressLine1
AddressLine2
City
State/Province
Whatcountryisthepartnerlocatedin?
PartnerInstitutionLead
PartnerInstitutionLeadCollaboratorPleaseprovidethefollowinginformationaboutthepersonwithwhomyouarecollaboratingatthepartneringinstitution. (Thisisthepersonatthepartnerinstitutionresponsibleformonitoringandmaintainingtheactivitiesofthispartnership.)
Postalcode
PrimaryContactFirstName
PrimaryContactLastName
PrimaryContactRole
EmailAddress(attheinstitution)
FullnameasitwillappearontheLetterofCollaboration.Forexample:Dr.HansSchmidt.
CollegeorDepartmentName
Phone
PartnerInstitutionSignatories
PartnerInstitutionSignatoriesPleaseidentifythepeoplewhowillsigntheLetterofCollaborationonbehalfofthepartnerinstitution.Ensureallinformationisaccurate,asthisinformationwillbeusedtocreatetheLOC.Providethesigners'universityorinstitutionemailaddresses.Typically,oneortwoindividualswillsigntheLOConbehalfofthepartner. Pleaseincludethesignatureblock,asyouwouldlikeittoappearontheLOC,foreachsignatory.Forexample: KendraV.Sharp,Ph.D.SeniorAdvisortotheProvostforInternationalAffairs FirstPartner Institution Signatory
FirstName
LastName
Salutation
EmailAddress(attheinstitution)
SignatureBlock
Doyouwanttoaddanothersignerforthepartnerinstitution?
Second Partner Institution Signatory
Yes
No
FirstName
LastName
Salutation
SignatureBlock
Doyouwanttoaddanothersigner forthepartnerinstitution?
Third Partner Institution Signatory
EmailAddress(attheinstitution)
Yes
No
FirstName
LastName
SignatureBlock
Doyouwanttoaddanothersigner forthepartnerinstitution?
Fourth Partner Signatory
Salutation
EmailAddress(attheinstitution)
Yes
No
FirstName
SignatureBlock
OSULead
OSULeadPleaseprovidethefollowinginformationabouttheOSUfacultyorstaffmemberproposingtheLetterofCollaboration.Thispersonisresponsibleformaintainingtheactivitiesofthispartnership.
LastName
Salutation
EmailAddress(attheinstitution)
LeadFirstName
OSULeadRole
LeadLastName
FullnameasitwillappearinthebodyoftheLOC.Forexample:Dr.JohnSmith.
CollegeorDepartmentName
OSUEmailAddress
OSULead
OSUSignatory
OSUSignatory PleaseidentifythecollegeordepartmentalsignatoryforthisLetterofCollaboration.ThisisoftenthecollegeDean,andinlargercollegesmaybetheassistantorassociatedeanwhodirectlyoverseesyourunit.Thesignatoryistypicallysomeoneotherthantheagreementlead.WhileLOCstypicallyhaveonedepartmentalsignatory,wecanaccommodateadditionalsigners.OSU'sSeniorInternationalOfficerisalsoasignatoryonallLOCs. Includethesignatureblock,asyouwouldlikeittoappearontheLOC,foreachsignatory.Forexample: KendraV.Sharp,Ph.D.SeniorAdvisortotheProvostforInternationalAffairs
FirstName
LastName
Salutation
OSUEmailAddress
SignatureBlock
Do youwanttoaddanotherOSUsigner?
SecondOSUSignatory
Yes
No
FirstName
LastName
SignatureBlock
DoyouwanttoaddanotherOSUsigner?
ThirdOSUSignatory
Salutation
OSUEmailAddress
Yes
No
FirstName
SignatureBlock
ExecutedAgreementDistribution
ExecutedAgreementDistributionTherequesterandcollaborator,aswellaseachsignatory,willreceiveacopyofthefullyexecutedagreement. Shouldanyoneelse,forexample,collegeadministrativestaff,receiveacopyoftheexecutedagreement?Ifmorethanoneadditionalpartyrequiresacopyoftheagreement,pleasecontactouroffice.
LastName
Salutation
OSUEmailAddress
Sendacopytothefollowingperson:
AdditionalRecipientRole
SubmitRequestForm
Yes
No
RecipientFirstName
RecipientLastName
RecipientEmailAddress
PoweredbyQualtrics
SubmittingYourRequest Beforesubmittingyourrequest,pleasereviewtheinformationyouareproviding.Youcanjumptoanypartoftheformusingthenavigationlinks intheupperleftofthescreen. Itisnotpossibletoedittherequestformonceitissubmitted. Whenyousubmitthefollowingpage,yourrequestwillbeforwardedtoInternationalAffairs.Youwillbepresentedwithasummaryoftheinformationsubmitted.Werecommendyoudownloadthisinformationasa.pdfdocument,andsaveitforreferenceasweprocesstheagreementrequest.Pleaseallowupto10businessdaystoreceivearesponse.
top related