*1.Contact Information(Required.)

First Name

Last Name

E-mail

Phone number

School

Department

Area of research

Position

If graduate student, specify (Yes/No):

If faculty, specify (Yes/No):

Proposed departure date (mm/dd/yyyy):

Proposed arrival date (mm/dd/yyyy):

*2.Description of training/collaboration arrangements (a brief description of the intended activity and its relevance to the applicant research development (one page). Specify expected outcome(s): i.e. Training / Publication / Grant application).(Required.)

*3.Estimated costs ($)(Required.)

Housing/Hotel

Plane tickets

Land transportation

Per diem

Registration (If applies)

Other expenses (Yes/No)

Specify other expenses

Estimated total cost

*4.Please submit your documents to rcmi.rcm@upr.edu (check if completed)(Required.)

Your Biographical Sketch in new format (Rev. 10/2024. Approved Through 09/30/2024) Download here

A brief description of the intended activity and its relevance to the applicant's research development (one page). Specify expected outcome (i.e. Training/Publication/Grant application)

A letter of support from host collaborator/laboratory

5.For graduate students only please upload (check if completed):

Letter of support from advisor with copy to the School Dean (this is a requirement)

SUBMIT YOUR ELECTRONIC APPLICATION FORM BY WEDNESDAY, JANUARY 22, 2024.