USU Form 1325B
Proposal for USU International Research Collaboration or Education Program. For questions please contact Jennifer Nuetzi James at
Who is the PI for this request?
Which Department is sponsoring this request?
Full department name
Who is the admin or POC for this request?
What is the POC phone number for this request?
What is the POC email address for this request?
What is the approved research or program proposal?
What researchers are involved?
Include first and last name AND institution.
What institutions are involved?
List the address for all institutions.
Is the collaborator/institution: government or private?
Will there be any exchange of personnel, data and/or samples?
What will be exchanged?
Please provide as much detail as possible regarding what will be exchanged.
What is the proposed duration of this collaboration?
Please provide a start and end date for the duration of this collaboration.
How is this project being funded?
Grant, department, other funds. Please provide as much detail as possible.
Are there any other supporting materials you would like to provide?
These can be submitted after you have completed the form.
Material Transfer Agreement
Cooperate Research and Development Agreement
Please copy and paste your supporting materials here.
You may also deliver a hard copy when you bring your signed form for review.
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