Foreign Activity MOU, Agreement, Contract, etc.

Please provide a short one line description of the activity being reported.

Please provide the given (first) name of the person who is leading/responsible for the agreement being reported.

Please provide the Surname of the person who is leading/responsible for the agreement being reported.

Please provide the e-mail address of the person who is leading/responsible for the agreement being reported.

Please provide the business phone number of the person who is leading/responsible for the agreement being reported. Please provide the full number including the country code.

Please indicate if the agreement/contract/MOU involves more than one campus.

Please select the campus who will have ownership of the agreement.

Please list the other campuses participating in the agreement.

Please indicate if this will be a new agreement or a modification to an existing one.

Please provide the date the agreement was originally established before this modification.

Please provide the name of the entity involved in the agreement.

Please provide the city the entity resides in.

Please select the country the entity resides in.

If applicable, please provide the the State or Region name on the entity's address.

Please select the state or US territory where the entity resides.

Please estimate the date the agreement will commence. If this is unknown and/or still being finalized, please select your best estimate.

Please estimate the date the agreement will end. If this is unknown and/or still being finalized, please select your best estimate.

Please select the type of interaction that is occuring.

Please provide a brief description of what the agreement will cover.

Please select how the agreement is funded.

Please provide details on the extramural funding source.

Please provide the total cost involved in the agreement. (If unknown, please estimate)

Please provide the project ID or similar associated with the funding source

Please describe the source of the funding.

Please select the number of individuals representing or residing in a country outside of the United States that are involved with the activity.

Does this activity include any senior foreign officials (e.g. cabinet level, heads of state, provincial/state leadership, senior diplomats, mission delegates)

Please indicate if any individuals represent or reside in one of the following countries. (check all that apply)

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please provide the official title, job title, or designation of the individual.

Please select the country the individual represents and/or resides.

Please provide the work e-mail address of the individual.

Please list any additional foreign participants. One per line in the following format (semicolon between fields). Last; First; Title; Country; E-mail

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please provide the first (given) name of the individual.

Please provide the Surname of the individual.

Please select the campus the individual is a member of.

Please provide the official title, job title, or designation of the individual.

Please provide the work e-mail address of the individual.

Please provide the full 10 digit office telephone number of the individual.

Please include any relevant attachments. If you have multiple attachments, you can either hold down the CTRL key in the file selection window; you can also respond to the confirmation e-mail that will be generated with any additional attachments you would like to add.