Texas A&M University

Visiting Scholar Form

Request for Approval for a Visiting Scholar

The following questions are intended to place your request in the appropriate division. Please check yes or no for each of the questions.

1) YES NO "Will the Visiting Scholar be involved in a research project or collaboration, and need access to laboratories and research facilities for the purposes of observing or conducting research?"
2) YES NO "Will the Visiting Scholar be issued a Texas A&M University identification card, keys to offices or laboratories or otherwise be given access to the Texas A&M University computing system in any way or manner?"
3) YES NO "Will the Visiting Scholar be paid an honorarium, reimbursed for expenses, paid salary or wages or provided something of value?"

Provide the following data on the proposed Visiting Scholar

The (Department, Center or Institute Name) requests authorization to make a Facility Visitation Agreement with a Visiting Scholar as outlined in the Texas A&M University Rule 15.99.99.M1 Visiting Scholars not involved in an Employer/Employee Relationship with Texas A&M University.
The (Department, Center or Institute Name) requests authorization to make a Facility Visitation Agreement with a Visiting Scholar and to reimburse expenses/pay honoraria/pay speaker fee to the below international visitor who does not fall within the definition of section 1 of the Texas A&M University Rule 15.99.99.M1 Visiting Scholars and who is not involved in an Employer/Employee Relationship with Texas A&M University.

Indicate intended payment type Est. Amount
Payment for Services (i.e. Speaker fee) Payment of salary or wages through the Texas A&M University payroll system
Reimbursement of expenses
Funded by: System Member: Funding Account:

1. First Name:  Middle Name:  Last Name:
2. Title:    Email:
3. Home Address:
4. Country of Citizenship:
5. Visiting Scholar Institution Address:
Name of Institution:
City:   State:   Country:
6. Visitation Period: From: MM/DD/YYYY Through: MM/DD/YYYY
7. Attach curriculum vitae/resume of visiting scholar.
8. Describe the nature and purpose of the visit :
7. Attach curriculum vitae/resume of visiting scholar.
8. Describe the nature and purpose of the visit :
7. Describe the nature and purpose of the visit :

The following questions are intended to address export controlled issues. Please check yes or no for all of the work contemplated during the scholar’s visit, both funded work and unfunded work, with the host or other faculty member or researcher. Host should review TAMU Rule 15.99.99.M1, before completing this section.

  1. YES  NO   Will discussions with the visitor include technical advice for development for development of an independent similar program at the Scholars home institution, where such specifications are not available through published materials such as commercially available manuals, documentation in libraries or the World Wide Web, information from teaching laboratories or information available to interested communities for either free or where the price does not exceed the cost of production?

  2. YES  NO   Will visitor have access to technical specifications of equipment where such specifications are not available through published materials such as commercially available manuals, documentation in libraries or the World Wide Web, information from teaching laboratories or information available to interested communities for either free or where the price does not exceed the cost of production?

  3. YES  NO   Does the project restrict participation to US citizens or permanent residents only?

  4. YES  NO   Will the research yield results for military use, use in outer space, use in nuclear science, use in advanced robotics or computers?

  5. YES  NO   Can the research be categorized as Classified?
    Classified research is usually government funded and can further be defined as national security information at the levels of Top Secret, Secret, and Confidential, and as being governed by Department of Defense National Industrial Security Program Operating Manual (NISPOM) requirements. Publication of classified research results can be legally withheld or restricted.

  6. YES  NO   Can the research be categorized as Controlled Unclassified Information?
    Controlled Unclassified Information (CUI) is a categorical designation that refers to unclassified information that does not meet the standards for National Security Classification under Executive Order 12958, as amended, but is (i) pertinent to the national interests of the United States or to the important interests of entities outside the Federal Government, and (ii) under law or policy requires protection from unauthorized disclosure, special handling safeguards, or prescribed limits on exchange or dissemination. Henceforth, the designation CUI replaces "Sensitive But Unclassified" (SBU).

  7. YES  NO   Can the research be categorized as Restricted?
    Restricted research is research where publication may require advance review by, or permission of the funding entity. Restricted research may have constraints imposed by the funding entity, whether it be the state, a federal agency, or a private sponsor with or without commercial interests.

  8. YES  NO   Can the research be categorized as Proprietary?
    Proprietary research, usually privately funded, is defined as research activities undertaken pursuant to a contract between the University and an outside sponsor with commercial interests, and carried out under the auspices of the University. Publication of proprietary research results can be withheld or restricted, contractually.

  9. YES  NO   Can the research be categorized as “Fundamental”?
    Fundamental research means basic and applied research results of which ordinarily are published and shared broadly within the scientific community. Fundamental Research applies only to the dissemination of technical data and information, not to the transmission of material goods.

Host Faculty Member:
Print/Type Name:
Phone Number: Host Faculty Member Email address:
Departmental Designee Email address:
Signature: __________________________________________  Date:
 
APPROVED BY: Department Head ( or Director, if appropriate)
Print/Type Name:
Signature: __________________________________________  Date:
 
APPROVED BY: Dean’s Office
Print/Type Name:
Signature: __________________________________________  Date:

This section to be completed by the Division of Research.
Check for Restricted Party Screening:

YES NO   Passed restricted party screening for person
YES NO   Passed restricted party screening for home institution or current employment
YES NO   Any restrictions, if yes, explain:
Print Name
Signature: __________________________________________ Date:


Routing Approval Instructions:
  1. After the form is signed by the Host Faculty Member, Department Head and Dean’s office submit to Vice President for Research (VPR) at Visitingscholar@tamu.edu.
  2. If during the Visual Compliance screening there is a finding it will be reported to the Export Control Office for review. The Export Control Office will then communicate with VPR and/or the Department.
  3. VPR will forward a completed form to the Host Faculty Member and Departmental Designee(s); the International Faculty & Scholar Services Office for international visitors; and Financial Management Operations for visitors who will receive payment for services or reimbursement of expenses.

No further action required.

If at any time prior to or during the visit any one of the three questions could be answered yes, this form must be completed and routed for approval.

For questions, or clarification please contact the Office of Research Compliance at (979) 458-1467 or via email at exportcontrols@tamu.edu. Additional information available at: http://rcb.tamu.edu/exportcontrols