Memorandum of Understanding Proposal Form

Name of individual submitting proposal

Title and Department/College

Phone Number

Email Address

Name of DEO/Collegiate Dean

Partner Institution Information:

Please answer the following questions in order to expedite the review of the proposed agreement.

Name

Country

City

Website

Contact Person

Position Title

Email Address

Briefly describe any history to this point with the partner institution.

What are the goals of the partnership and how will it benefit the UI and your department/college?

Are there any commitments of time, effort, and/or university resources or funding required to achieve the desired outcomes over the term of the agreement? These commitments must have the approval/support of your department/college and will need to be detailed in a subsidiary agreement or addendum to the general Memorandum of Understanding.

Yes

Please detail these commitments in the space provided above.

Please email the completed proposal form to the Associate Provost and Dean of International Programs, Russ Ganim (russell-ganim@uiowa.edu).