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