Request To Invite Visiting Scholar

This form is to be used for all levels of the approval process including information required for background check and visa status of Scholars. Additionally, please fill out all fields and review the approval procedures before submitting this form. If the question is not applicable, please enter "n/a" in the form field.

Section I. Host Faculty Member Information

To be completed by the University host faculty member prior to the beginning of the visiting scholar’s program activities.

I have completed General Office/Department Volunteers Form

Official Transcripts required for teaching

Section II. Visiting Scholar Information

Name of Visiting Scholar

Gender

Driver’s License/ID Number

Date of Birth

Preferred Pronouns (e.g. She, Her, Hers)

Contact Address

Other Information

Email Address

Country of Birth

Country of Legal Permanent Residence

Telephone

Country of Citizenship

Title of Employee

Current Employer

Employer Address

Employer Web Site

Employer Telephone

Amount of Funding

Source of funding to cover scholar’s living expenses?

Will Stetson University be required to sign any agreements to authorize the visiting scholar's placement and/or participation in research/other activity at Stetson University?

If an agreement is required by the home institution to authorize the visit, the SU host faculty member should request a copy of the agreement from the home institution for endorsement by the Office of the Provost and Academic Affairs.

Section III. Visiting Scholar Visa Status

Check one of the following to indicate whether the visiting scholar requires a visa or not. For more information about visa types and related activity, visit the Department of State at: state.gov

This visiting scholar is a U.S. citizen or Permanent Resident, Asylee, or Refugee and does not need a visa.

This visiting scholar will enter on a visitor (business/tourist) visa or visa waiver.

This visiting scholar will require a J-1 Short Term Scholar Exchange Visitor visa. This applies to scholars visiting for between 3 weeks and 6 months. Most foreign visiting scholars will fall into this category. This visa applies to professors, research scholars, and other individuals with similar education/accomplishments, who visit the United States to lecture, observe, consult, train or demonstrate special skills at research institutions, museums, libraries, post-secondary accredited academic institutions, or similar types of institutions.

Note: International visitors classified as Visiting Courtesy Postdoctoral Associate, Visiting Courtesy Graduate Research Assistant, and Visiting Courtesy Undergraduate Assistant must obtain J-1 visas regardless of the length of time of the visit in order to comply with U.S. Immigration regulations unless already on OPT or Academic Training.

This visiting scholar will be visiting for a period between 6 months and 2 years and will require a J-1 Professor and Research Scholar visa. Please note that any scholars (and their dependents) who use this visa are subject to the 12 or 24 month bars.

This visiting scholar (international) is currently in the U.S. on Optional Practical Training (OPT), Academic Training, or as a dependent to either a student on a J-1 or F-1 student visa, or another legal category which allows this activity.

Section IV. Purpose of the Visit

Will the proposed research involve human subjects, animal subjects, or use of hazardous materials or chemicals?

If yes, describe IRB filing or other process to protect human subjects; IACUC filing or other process to protect vertebrate animals; or processes to secure/protect against hazardous materials and/or chemicals

Will others work with this visiting scholar? Check all that apply?

Faculty

Staff

Graduate students

Undergraduate students

Section V. Special Considerations

Intellectual Property: Work at the University that results in intellectual property considerations should be directed to the executive director of academic administration at the Office of the Provost and Academic Affairs.

Section VI. Stetson Funding To Support Faculty-Scholar Activity

Please indicate funding resources you will use in support of the faculty-scholar activity.

Source of funding, including external grants/sponsored projects (Fund, Org, Program, Account Codes)

Section VII. Approvals

I have reviewed the above and certify that the host faculty member (or named alternate) has the available time to provide oversight and supervision of this visiting scholar and that the visit provides a benefit to Stetson University through ongoing and future collaborations, research and information-sharing between the host faculty member (and department/unit) and the visiting scholar. Access to all of the indicated Stetson University facilities is also approved.

I acknowledge that any unrestricted gift from the visiting scholar's home organization may not be made directly to the host faculty member. Funds shall be deposited into a Foundation account as directed by University policy and may be used to defray the visitor's expenses as delineated by agreement between the visiting scholar’s home institution and Stetson University.