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ACOM Visitor Request
THIS FORM IS TO BE FILLED OUT BY THE HOST, NOT THE VISITOR.
Visitor Information
Visitor Name
Your answer
Visit Dates
Your answer
Gender
Citizenship
Your answer
Home Institution
Your answer
Complete Address
Your answer
Phone
Your answer
E-mail Address
Your answer
Will the visitor need a travel visa?
Will the visitor need UCAR help finding housing?
ACOM Information
Host
Your answer
Host Email
Your answer
If relevant, please list all NCAR Collaborators (groups and/or individuals)
Your answer
Please provide at least three full sentences to explain the reason for the visit and the work to be accomplished. (A photo of the visitor is also needed for the visitor website <http://www2.acom.ucar.edu/visitors>.)
Your answer
Office Request ( We will do our best to honor the request, but we can't guarantee the availability of all choices at all times.)
Computer Requirements (UCAS login, workstation, etc.)
Your answer
Funding Requirements
PLEASE NOTE: Overhead is applied to all expenses. The FY16 rate is 57.3%.
Has this visit been pre-approved?
Amount approved to cover this visitor?
Your answer
Description of costs to be covered for visitor.
Your answer
Account key to cover amount not covered with visitor funds?
Your answer
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