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Please provide the following information when inviting a visitor/speaker. Your email address is requested so that you can be e-mailed a copy of the filled out form.

Visitor
Last Name
First Name
Affiliation
E-Mail
Address
 
Visitor Citizenship
Visitor is a US citizen? Yes No
If No, please list type/visa:
Host
Name of faculty member
E-Mail
Purpose of Visit
If purpose is other, please describe:
Dates of Visit
Start
End
Additional Information of Visit

Has departmental approval been requested and approved for this visitor? Yes No

Has a formal letter of invitation from the Department Head been requested ? Yes No

Will he/she need office space? Yes No

If yes, has a request for office space been submitted and approved? Yes No

Office assigned?

Will visitor need access to more than just departmental computer and library accounts? Yes No

Will he/she want access to a Penn State OAS account, library facilities, or other access that will require him/her to have a Penn State ID number? Yes No

Will you be reimbursing him/her for travel expenses, such as lodging, air fare, meals, etc? Yes No

(Note: If any of the visitor's travel expenses will be paid from a grant, the United States federal grant rules require the visitor to use a US Flag Air Carrier such as United, Northwest, or Delta for their international air travel. See http://www.ogc.doc.gov/ogc/fl/fald/itl/itlv14.pdf and/or http://www.tvlon.com/resources/FlyAct.html

If yes, fund to be used to reimburse expenses?

Will you be paying him/her an honorarium or wages? Yes No

If yes, the amount?

Fund to be used?

Where will he/she reside while in this area?

Note: Be sure departmental staff member working with this visitor is notified when the visitor arrives and departs so departmental records and International Scholars and Faculty Visa Services Offices records can be updated.

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