Application for Appointment as a Visiting Scholar
pdf format ........MS Word format

This nomination is from the Department of

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Name of the proposed scholar

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Permanent Address ________________________________________________________________________

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Highest Earned Degree and Date

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Degree Earned From

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Nationality

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Period of Appointment

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Briefly explain the purpose of the Scholar's visit to the University: __________________________________________

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If the Visiting Scholar plans to work with a particular faculty member at the University of Texas at Austin, please give
that name and department (and campus mail address). __________________________________________________

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Intellectual Property Agreement

As nominator I am responsible for obtaining the signature of the Visiting Scholar on the Intellectual Property Agreement. I agree to send the signed Intellectual Property Agreement to the Office of the Vice Provost and Dean of Graduate Studies.

Nominator

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Typed or Printed Name
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Departmental Chair Approval

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Typed or Printed Name
..............................Signature

Academic Dean Approval

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Typed or Printed Name
..............................Signature

Please send this application, the Intellectual Property Agreement and a copy of the proposed Scholar's current vita to the Office of Graduate Studies, Main Building 101, Mail code G0400, Attention: Visiting Scholars

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Approval of the Office of the Vice Provost and Dean of Graduate Studies
Rev. 03/07