SECTION OF INTERNATIONAL COOPERATION
FORM FOR THE MANAGEMENT OF SPECIFIC AGREEMENTS
FOR INTERNATIONAL ACADEMIC OFFER PROGRAMS[1]
UCR INFORMATIONApplicant(s)’s Academic Unit(s):
Applicant’s name and job position [2]:
Phone number: / Office: / Mobile:
E-mail:
Previous collaboration with the counterpart institution:
Approval of the Director of the applicant’s Academic Unit:
Indicate date and No. of Session through which this Agreement was approved: Advisory Council, Scientific Council, and Commission or Collegiate body, as appropriate.
INFORMATION OF COUNTERPART INSTITUTION
Name of Institution:
Name of applicant:
Academic or Research Unit:
Position:
Phone number: / Office: / Mobile:
E-mail:
Name of legal representative:[3]
Name of instance responsible for managing agreements:[4]
Name of Director of such instance:
E-mail:
PROGRAM’S SPECIFICATIONS [5]
1. Name of Special Program[6]:
2. Purpose of Special Program:
3.Indicate the number of foreign students participating[7]:
4. Indicate the number of UCR students participating:
5. Describe the process that will be implemented for the selection of participating students:
6. Indicate the exact dates for the implementation of the program:
7. Indicate the position and contact details of UCR professors participating in the program:
8. Indicate the name, title, and contact details of professors from the foreign university participating:
9. Detail the academic contribution of professors from UCR and the foreign university participating during the program implementation:
10. Specify whether there is academic participation and support from other instances of the UCR:
10. Indicate the logistical support required by UCR:
Hosting Location / ( )
Coordination of internal transfers / ( )
Coordination of academic tours / ( )
Classrooms / ( )
Student card for library access / ( )
Orientation and Costa Rican culture session / ( )
Other / ( )
10. Indicate the logistical support required by the foreign institution[8]:
Hosting Location / ( )
Coordination of internal transfers / ( )
Coordination of academic tours / ( )
Classrooms / ( )
Student card for library access / ( )
Orientation and country’s culture session / ( )
Other / ( )
11. Detail the costs and logistics of the academic program[9]:
12. List the obligations undertaken by students participating during the implementation of this program:
13. Specify substantive academic benefits to both institutions resulting from the implementation of this Program:
Phone numbers: (506) 2511-5080/1132 www.oaice.ucr.ac.cr
[1] This form is the Section of International Cooperation’s request for the formulation of a specific agreement.
[2]Indicate if this person is going to be in charge of the agreement’s academic activities.
[3] This person will sign the Specific Agreement.
[4] Counterpart of the Office of International Affairs and External Cooperation
[5] Applications must include this form completed and the approval of the Director of the Academic Unit requesting the procedure.
[6] Please attach the complete program in Spanish and in English (if imparted in this language).
[7] Please include a list with names, majors, and contact information.
[8] Indicate only if the program is been implemented reciprocally at the foreign institution
[9] The complete itemization of the program’s costs is required along with FUNDEVI’s account number, through which the payments related to the Program will be transferred.