Visiting Scholar Program - Web Hosting

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University at Buffalo
The State University of New York
Vice Provost for International Education
Faculty Internationalization Fund
Application Form
In order to be considered, applications must be complete and endorsed by the appropriate
department chair and dean. Completed and endorsed applications should be submitted for
approval to the University at Buffalo Office of the Vice Provost for International Education at the
address below, or electronically to: John J. Wood, Senior Associate Vice Provost for International
Education at: jjwood@buffalo.edu. Please attach an updated CV and be sure to complete the
travel budget specifying relevant costs and other sources of support. Applications will be
considered by the selection committee three times each year, per the following deadlines for
submission: October 1, February 1, and May 1. Awards will be made within two weeks
following each deadline.
Please check the appropriate category:
___ Study Abroad Program
___ Collaborative Research
___Course Enhancement
1. APPLICANT NAME:
2. ACADEMIC RANK/TITLE AT UB:
3. UB DEPARTMENT:
4. CAMPUS ADDRESS:
5. TELEPHONE:
6. EMAIL:
7. TITLE OF PROPOSED ACTIVITY:
8. HOST INSTITUTION/COUNTRY:
9. COLLABORATOR(S) AT HOST INSTITUTION:
10. PROPOSED DATES OF TRAVEL TO HOST INSTITUTION:
Study Abroad Programs

International Student & Scholar Services

International Enrollment Management
411 Capen Hall, Buffalo, NY 14260-1604 U.S.A.
Tel: (716) 645-2368 Fax: (716) 645-2528 E-mail: intadmit@ buffalo.edu Web: www.buffalo.edu
11. FUNDING AMOUNT REQUESTED (Please complete the travel expense budget [page
4] to substantiate request and indicate any other anticipated funding support):
___ $500
___$1,000
___$2,000
12. SUMMARY OF PROPOSED ACTIVITY (50 Words):
13. PREVIOUS EXTENDED VISITS ABROAD FOR RESEARCH, SCHOLARSHIP OR TEACHING:
14. DESCRIPTION OF PROPOSED ACTIVITY (up to 500 words):
Describe the study abroad program, collaborative research, or course/curricula
enhancement activity you plan to develop at the host institution.
In what specific ways will you collaborate with the host institution?
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Indicate how your visit will benefit yourself, your institution, and UB.
15. OTHER POSSIBLE ACTIVITIES THAT YOU MIGHT UNDERTAKE AT THE HOST
INSTITUTION (TEACHING, LECTURING, ETC):
16. SIGNATURES/APPROVALS:
APPLICANT SIGNATURE:
DATE:
DEPARTMENT CHAIR SIGNATURE:
DATE:
DEAN’S SIGNATURE:
DATE:
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Faculty Internationalization Fund: Travel Expense Budget
To justify the funding amount requested, please complete the Travel Expense Budget
with as much specificity and precision as possible. List anticipated actual costs
obtained in consultation with host institutions/colleagues; do not list per diem
amounts. Only actual costs will be reimbursed with the presentation of original
receipts (with translations when necessary). Note: FIF funds will be transferred to the
faculty member’s department, which will administer the travel reimbursement.
Name ___________________________ Destination(s) _____________________________
Amount Requested ____ $500
Transportation
___ $1,000
___$2,000
# of days
Cost per day
Total
(in US dollars)
# of days
Cost per day
Total
(in US dollars)
Air Transportation
Surface Transportation
Subtotal
Lodging & Meals
(Do not use per diem)
Lodging
Meals
Subtotal
Grand Total
Please list all other anticipated funding support from UB:
Please list any anticipated funding or in-kind support from the host institution:
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