Request for Renewal of Memorandum of Understanding

Individual requesting renewal of agreement

Title and Department/College

Phone Number

Email Address

Name of DEO/Collegiate Dean

International 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 the history/significance of the partnership (faculty engagement, level of activity, specific goals accomplished, etc.):

What activities are planned for the partnership within the next year 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 below.

Please email the completed renewal form to Lauren Powers in International Programs (lauren-powers@uiowa.edu).