Attachment I

 

Texas State University

International Inter-Institutional Memorandum of Understanding (MOU) Checklist

 

Please complete the information in the space provided and forward by email to the International Office at International@txstate.edu.

 

1

Texas State representative requesting this MOU:

 

Name:

Title:

Department:

Email:

Phone number:

Fax number:

Mailing address:

 

Person to whom you directly report:

 

2

Contact information of the university representative at Texas State (Please complete only if different than information provided above in #1.)

 

Name:

Title:

Department:

Email:

Phone number:

Fax number:

Mailing address:

 

3

Information related to the international institution, governmental agency, or non-governmental agency

 

Name of Institution:

Address:

Size (number of students enrolled annually):

Academic ranking or quality:

Mission statement:

General description of 50 words or less and relevance or purpose in the home country:

 

4

Sub-unit, if any, within the corresponding international entity (school, department, etc.)

5

Web site address of international entity or entities:

 

6

Rationale for the proposed MOU for Texas State (How will the MOU contribute to the strategic plans of the department, college, and the university?)

7

Indicate why you chose this international entity as a prospective partner for a future international agreement (IA).

8

Name and title of the executive (president, rector, etc.) officer who is authorized to sign the MOU on behalf of the international entity

 

9

Coordinator who facilitates the MOU process at the international entity (the director of an office similar to the International Office at Texas State)

 

 

Name:

Title:

Email:

Phone number:

Fax number:

Mailing address:

 

10

Contact information of the university representative, if identified, at the international institution

 

Name:

Title:

Email:

Phone number:

Fax number:

Mailing address:

 

11

Person who will obtain signature for the MOU

 

Indicate if it is either #9 or #10 above. If not, please complete information below:

 

Name:

Title:

 Email:

 Phone number:

 Fax number:

 Mailing address:

 

Note: The use of courier services such as Fedex, DHL or other similar services is strongly recommended when sending MOUs to international institutions. The Texas State college, department or office initiating the MOU is responsible for costs related to the use of courier services for this purpose.

 

12

Name and Signature of Texas State Department Head

 

 

Name and Signature of Texas State Academic Dean