Departmental Research Affiliate Request (Courtesy Affiliation)
Department/Program:
*
Your Name (Chair/Director completing the form):
*
First Name
Last Name
Your Email:
*
example@example.com
Name of Proposed Research Affiliate:
*
First Name
Last Name
E-mail of Proposed Research Affiliate:
*
Length of Appointment (Start Date July 1, 2020)
1 year
Reason for request
Upload CV
*
Submit
Should be Empty: