USU Form 1325B
Proposal for USU International Research Collaboration or Education Program.
For questions please contact Helen Hocknell at helen.hocknell.ctr@usuhs.edu or Annette Askins-Roberts at annette.askins-roberts@usuhs.edu.
Who is the PI for this request? *
Your answer
Which Department is sponsoring this request? *
Enter the full department name.
Your answer
Who is the admin or POC for this request? *
Your answer
What is the POC phone number for this request? *
Your answer
What is the POC email address for this request? *
Your answer
What is the approved research or program proposal? *
Your answer
What researchers are involved? *
Include first and last name AND institution.
Your answer
What institutions are involved? *
List the address (including country) for all institutions.
Your answer
Is the collaborator/institution: government or private? *
Will there be any exchange of personnel, data and/or samples? *
Required
What will be exchanged?
Please provide as much detail as possible regarding what will be exchanged.
Your answer
What is the proposed duration of this collaboration? *
Please provide an approximate start and end date for the duration of this collaboration.
Your answer
How is this project being funded? *
Grant, department, other funds. Please provide as much detail as possible.
Your answer
Are there any other supporting materials you would like to provide? *
These can be submitted after you have completed the form, or emailed to helen.hocknell.ctr@usuhs.edu or annette.askins-roberts@usuhs.edu.
Required
Please copy and paste your supporting materials here.
You may also email these to helen.hocknell.ctr@usuhs.edu.
Your answer
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