Texas A&M University-Corpus Christi
Approval of 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.
1. First Name:
Middle Name:
Last Name:
2. Title:
3. Country of Citizenship:
4. Visiting Scholar Addresses:
Institution Address: Name of Institution
City
State
Home Address: City
5. Visitation Period: From:
Country
State
MM/DD/YYYY
Country
Through:
MM/DD/YYYY
6. Identify source(s) of financial and infrastructure support for scholar during visit.
7. Give summary description of education, background or attach resume.
8. Describe the nature and purpose of the visit and how the visit is research related.
9. Please complete this section if the visiting scholar is an international person (not a
U.S. citizen or lawful U.S. Resident).
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.
a)
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.
b)
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).
c)
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.
d)
Yes
No
residents only?
Does the project restrict participation to US citizens or permanent
e)
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.
f)
Yes
No
Can the research be categorized as “Fundamental”? Fundamental
research' means basic and applied research in science and engineering, the results of which
ordinarily are published and shared broadly within the scientific community, as distinguished
from proprietary research and from industrial development, design, production, and product
utilization, the results of which ordinarily are restricted for proprietary or national security
reasons. Fundamental Research applies only to the dissemination of technical data and
information, not to the transmission of material goods.
g)
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?
Host Faculty Member:
Print/Type Name
Signature________________________________________
Date
Phone Number
Email address
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 Office of Research Compliance*:
Yes
No
Passed restricted party screening
If no, explain:
Print Name
Erin Sherman
Signature _____________________________________ Date
Routing Approval Instructions:
1. Include attachments with original form.
2. After the Host Faculty Member and the Department Head sign form, send the original to the
Dean’s Office for signature.
3. Dean’s office will forward the signed original to the Office of Research and Graduate
Studies.
4. The Office of Research and Graduate Studies sends a copy to the Director of Human
Resources (for international scholars only)
*Approval contingent upon export control review by Ms. Erin Sherman.
To be read and completed by Visiting Scholar:
All Visiting Scholars will be subject to and required to observe all rules, regulations,
requirements and procedures of Texas A&M University-Corpus Christi, including but not limited
to safety, health, hours of work, and conduct. University Rules and Procedures are posted at
http://www.tamucc.edu/provost/university_rules/index.html. Upon arrival, International Visiting
Scholars must check in with the Director of Human Resources to verify their immigration status.
If a Visiting Scholar’s tenure at another institution involves projects of a proprietary nature that
may lead to potential conflicts of interest, the Visiting Scholar must sign a non-disclosure
agreement (Approval of Visiting Scholars form) regarding information acquired during the visit to
Texas A&M University-Corpus Christi. Such intellectual property may consist of unpublished
results, know-how, non-patentable information, patentable and/or other written or orally
transmitted information. The Visiting Scholar agrees that he/she will transmit no intellectual
property of Texas A&M University-Corpus Christi acquired by the Visiting Scholar during the
period of appointment. All technical reports containing technical information by the Visiting
Scholar will be accompanied by an English translation, which will be authorized by the Host
Faculty Member for transmittal. No other technical information will be transmitted or disclosed
by the Visiting Scholar. If the work of the Visiting Scholar, or the facilities and equipment used to
support that work, are supported by a grant or contract, the Visiting Scholar agrees to comply
with the intellectual property provisions of that grant or contract.
The Visiting Scholar agrees to hold Texas A&M University-Corpus Christi and The Texas A&M
University System, their Regents, officers, agents and employees, harmless from any loss,
claim, damage, or liability of any kind arising out of or in connection with this Agreement, except
to the extent that it is directly due to the negligent acts or omissions of any of the Regents,
officers, employees or agents of the Texas A&M University-Corpus Christi.
I, the Visiting Scholar, have read, understand and agree to all of the above.
Print/Type Name
Title:
Signature_________________________________
Date