Visitor Request Form

Ohio State welcomes international delegations to campus for short-term visits to facilitate mutually beneficial partnerships, explore research and educational collaborations and share knowledge and expertise with institutions of higher education and government entities around the globe. The following questionnaire should be completed by international visitors, including foreign government officials, or by faculty or staff who wish to host an international delegation. The information provided will help the university facilitate a visit that will be mutually beneficial.

Today's date (mm/dd/yy)

Name of individual completing this form (name, honorific, email address)

Primary point of contact (name, honorific, email address)

Name of institution, governmental entity, or other organization

Name(s) of individual(s) visiting Ohio State (name[s], honorific[s], title[s])

Identify the highest ranking individual in this delegation.

What is the total number of visitors in your delegation?

Upload a bio for each member of the delegation.

Describe the purpose of your visit. (Please include proposed topics, departments/units, etc.)

List the top four priorities of your visit. (What do you expect to accomplish by visiting Ohio State?)

Is your visit due to an invitation from a certain college, faculty, researcher? If yes, please name the individual, Ohio State affiliation, and his/her/their email address.

Proposed date(s) of visit?

Is this date flexible?

Yes
No

Which campus do you intend to visit?

During which part of the day would you like to visit?

Morning only
Afternoon only
Full day (8a-5p)
Other

Does Ohio State have an active partnership (Memorandum of Understanding, Memorandum of Agreement, Student Exchange Agreement, Fulbright scholar, Erasmus+, e.g.) with your institution/organization?

Yes
No
Not sure

If there are specific places you would like to visit on campus, please list them here. (If not, write NA.)

If there are specific administrators, faculty, or colleges with whom you would like to meet, please list them here. (If not, write NA.)

Will you be making any presentations that require any special equipment or technology?

Yes
No

Do you require any specific accommodations (access, dietary, limited walking, e.g.)?

Yes
No

Do you have any special requests about the timing of the meetings? (Meetings should not begin before..., meetings should not be scheduled after...)

If we are able to provide it, are you interested in a walking tour of campus?

Yes
Maybe
No

Is there any additional information that you would like to share about your visit that has not been covered in the above questions? (If no, write NA.)

I consent without pay of any kind to be interviewed, recorded, photographed, videotaped, or filmed by the representatives of The Ohio State University for the purposes of educational or promotional publication, display or broadcast.

I agree that such interviews, recordings, articles, quotes, photographs, films, audio or video or any reproductions of same in any form are allowed to be used by The Ohio State University at their discretion. Subject to applicable law, if I wish to revoke this consent at any time in the future, I understand that I must contact Elizabeth Angerman at which point the representatives of the University will strive not to use my photograph, interview etc. in subsequent publication, display or broadcast.

I release The Ohio State University, its affiliates, employees, representatives, and agents from any and all claims, demands, costs and liability that may arise from the use of these interviews, recordings, photographs, videotapes or films, or any reproductions of same in any form, as described above, arising out of being interviewed, recorded, photographed, videotaped or filmed.

I acknowledge that I have read this consent form in its entirety, or it has been read (or translated) to me, and I have had the opportunity to ask questions about it and understand it.

Yes, I consent
No, I do not consent.