visiting scholar / researcher application form - Faculty of Education

VISITING SCHOLAR / RESEARCHER
APPLICATION FORM
Faculty of Education, University of Calgary
Applicant Information
Applicant Name: ______________________________________________________________
Applicant Title: Professor Dr. Ms. Mrs. Mr.
Name of Applicant’s Academic Institution / Affiliation / Unit:
______________________________________________________________________________
Academic Institution / Affiliation / Unit Contact Information:
Mailing Address: _________________________________________________________
Office or Cell Phone Number: _______________________________________________
Institutional Website: ______________________________________________________
Applicant E-mail Address: ______________________________________________________
Applicant Country of Citizenship: ________________________________________________
Applicant’s Passport Number: ___________________________________________________
Country of Issuance: ____________________________________________________________
Date of Issue: __________________________________________________________________
Date of Expiry: _________________________________________________________________
Applicant’s Visa Number (if applicable): ___________________________________________
Length of Stay as Noted on Visa Permit: _____________________________________________
Contact Name and Information in Case of Emergency:
______________________________________________________________________________
______________________________________________________________________________
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Revised February 2012

Visitation Information
Requested Visitation Time Period:
Beginning Date of Visit: ____________________________________________________
Concluding Date of Visit: __________________________________________________
Number of Days in Total of Visit: ____________________________________________
University of Calgary Faculty of Education Faculty Host / Mentor Name:
Host Email Address: ______________________________________________________
Host Areas of Scholarship / Research and Teaching Expertise:
________________________________________________________________________
Please attach letter from Dean or Department Head on letterhead paper indicating
continuing academic appointment.
Applicant’s Scholarship / Research Plan During Visitation
(Maximum 250 words)
Is University of Calgary Library Access Requested? Yes No
Is a Shared Office Requested? Yes No
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Revised February 2012

Is Laboratory Access Requested? Yes No
Other Requests:________________________________________________________________
Important Conditions Note to Applicant
• All direct costs of applicant visit are covered by the visiting scholar or by external to the
U of Calgary funding.
• The U of Calgary Faculty of Education does not make arrangements for air or ground
transportation, applicant accommodation and applicant medical insurance costs.
• A Visa, if applicable, is the responsibility of the applicant and MUST BE arranged prior
to visiting the University of Calgary.
• Requests for a letter of invitation, often required for visa applications, can be arranged
through the Faculty of Education Offices of Associate Dean of International Engagement
and/or the Associate Dean of Research.
o
o
International Associate Dean:
Research Associate Dean:
Dr. Colleen Kawalilak
Dr. Tom Strong
ckawalil@ucalgary.ca
strongt@ucalgary.ca
A complete application package should be submitted by the Faculty of
Education host as one PDF document
By email to: Kinga Olszewska, PhD,
Research Facilitator at kolszews@ucalgary.ca
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Revised February 2012

Application Checklist
_____ Visiting Scholar / Researcher Application Form
_____ Applicant Current Curriculum Vitae (Including the names and contact details
of 2 referees)
_____ Letter from Dean or Department Head or person with supervisory authority for applicant
on institutional letterhead
_____ A Copy of supporting letter or e-mail from a University of Calgary Faculty of Education
faculty member indicating their willingness to act as a host/mentor
__A Applications will primarily be evaluated according to quality of the research plan and
faculty member supporting letter.
Applicant’s Name (Printed): _____________________________________________________
Applicant’s Signature: __________________________________________________________
Date: ________________________________________________________________________
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Revised February 2012

Faculty of Education, Associate Dean, International, Review of Application
Notes:
Recommendation:
Signature
Name and Date Colleen Kawalilak, Associate Dean, International
Faculty of Education, Associate Dean, Research, Review of Application
Notes:
Recommendation:
Signature
Name and Date Tom Strong, Associate Dean, Research
Faculty of Education, Vice Dean, Review of Application
Notes:
Recommendation:
(Invitation / Regrets)
Signature
Name and Date Sharon Friesen, Vice Dean
Date sent
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Revised February 2012

Recommendation cc:
• HR Administrator
• Facilities Administration Assistant
Faculty Commitment
Please indicate the commitments expected of the Faculty in support of the visiting scholar. (E.g.
office space, phone, email address, library access, etc). Note: all direct costs are covered by the
visiting scholar or external funding.
Description
Responsible
• Access to the University’s facilities, including library and all
academic and cultural activities
HR
• UCalgary email address HR
• Shared office space Facilities
• Formal visa invitations Admin
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Revised February 2012