ࡱ> IKHa 2bjbj:K:K 8.X!H\X!H\2  $\u*[[[)))))))$m+#.*[[*/*^))()p$8 E.Lh))E*0u*|).z.()).)<[>,$[[[**zF[[[u*.[[[[[[[[[> : Form for Reviewing an International Linkage Agreement April 23, 1997; Edited Novembrer 22, 2016 The initiator(s) of the proposed agreement should fill out this form, attach a draft of the proposed agreement and submit both to: Vice President Division of International Affairs Williston Hall 406 Initiator of the proposed agreement at 鶹Ʒ: Unit(s) at 鶹Ʒ that will be involved: Department(s): College(s): Principal contact(s) regarding the proposed agreement: Name(s): Rank/title(s): Campus address(es): Tel:Fax:E-mail:Partner institution abroad: Name: Country: Address: Principal contact(s) regarding the proposed agreement: Name: Rank/title: Address: Tel:Fax:E-mail:Scope/purposes of the agreement (check as many as apply): a. ___ Researchb. ___ Study abroadc. ___ Student work/internshipsd. ___ Student exchangee. ___ Faculty exchangef. ___ Teachingg. ___ Technical assistanceh. ___ Public service i. ___ Exchange of library and other materialsj. ___ Professional developmentk. ___ Other specify:Impact of agreement on the unit(s): Please briefly describe how the proposed agreement will serve or impact the unit(s) that will be part of the agreement (impact on the internationalization of teaching, research, public service functions, on the unit(s)' students and on faculty members, etc.): Please briefly describe how the proposed agreement fits into and serve the scholarly missions (transmission, generation, and preservation of knowledge) of the university and to internationalize the university: Briefly describe any anticipated costs (financial, other resources, or other costs), if any, that will have to be used for implementing the proposed agreement: Approvals for the proposed agreements: The principal initiator(s) of the agreement: The information on this form is correct to the best of my knowledge. In the event that this exchange is approved, I agree to abide by all applicable institutional, partner, and sponsoring agency policies and procedures of Northern Illinois University and ________________________________________ (Name of the partner institution)Signature(s) of the principal 鶹Ʒ initiators:________________________________________ (Signature)__________________ (Date)________________________________________ (Signature)__________________ (Date)Department Chair(s) or academic unit Director(s): The signature(s) of the Chair(s) of the department(s) or Director(s) of the academic unit(s) involved is required: ________________________________________ (Signature)__________________ (Date)________________________________________ (Signature)__________________ (Date)Dean: The signature(s) of the Dean(s) involved is required: ________________________________________ (Signature)__________________ (Date)________________________________________ (Signature)__________________ (Date)Draft agreement: Please attach a draft of the proposed agreement to this form. 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