visiting researcher application form

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VISITING RESEARCHER
APPROVAL FORM
This form can only be used for visiting researchers currently enrolled as a higher degree research candidate at
another Australian institution. Please note that the home institution is responsible for managing the candidature as
visiting researcher does not have student status at UNSW. For candidates coming from an overseas institution
please see information on the practicum program run by UNSW International. For coursework students please
contact Rebecca Kimber (r.kimber@unsw.edu.au) in UNSW Admissions.
This form must be completed in conjunction with an OSA02 Online Services Access form. Both forms must be signed
by the Head of School before being sent to the IT Service Desk.
Details of Proposed Visiting Researcher
A full curriculum vitae and proof of current enrolment must be attached with this application and the
institution where the student is currently enrolled(the home institution) must provide written endorsement
of the proposed short-term stay at UNSW and evidence of public liability and personal accident insurance
coverage provided by the home institution?
Title:
First Name(s):
Family Name:
Institution of Current Enrolment:
Title of Degree of Current Enrolment:
Contact Address:
Telephone:
Email:
UNSW Visit Sponsor
Title:
First Name(s):
Family Name:
School:
Faculty:
Email:
Telephone:
Signature:
Supervisor at Home Institution
Supervisor name:
School:
Faculty:
I confirm that I support this researcher’s visit to UNSW
Signature:
1
Period of Visit
Period of visit can be up to 6 months.
From:
/
/
To:
/
/
Intellectual Property
Unless an alternative agreement has been made between UNSW and the visiting researcher’s institution
ownership of intellectual property that may arise from work performed by the visiting researcher at UNSW will
be
determined
in
accordance
with
UNSW
Intellectual
Property
Policy
(http://www.gs.unsw.edu.au/policy/ippolicy.html) The visiting researcher will be treated as an Affiliate for the
purpose of the Intellectual Property Policy. Please list any alternative agreements regarding intellectual
property here and attach supporting documents.
Justification of Proposed Visit
Provide details of how the visit will be of advantage to UNSW (nature of collaboration, work to be performed
etc).
Statement of Contribution of Proposed Visit
Please indicate the contribution that the visiting researcher will make to the School.
Checklist
OSA02 form attached for Head of School signature?
Proof of current enrolment at home institution attached?
Copy of researcher’s current CV attached?
Has the UNSW visit sponsor confirmed the visiting researcher has public liability and personal
accident insurance coverage provided by their home institution?
Please forward evidence of this insurance to Azita Karpour (9385 1980,
azita.karpour@unsw.edu.au). If no evidence of insurance is available, please contact Azita.
Have all matters regarding IP ownership been discussed and agreed between the two
institutions?
Has an appropriate Workplace Health & Safety induction been scheduled?
Has a risk assessment been completed (if applicable) for the work they will be doing at
UNSW?
Approval by Head of School
Name:
Signature:
Date:
/
Completed Visiting Researcher and OSA02 forms should be sent to the IT Service Desk
itservicecentre@unsw.edu.au
/
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