BACKGROUND: In accordance with University Rule 15.02.99.W1 Export Controls international visitors intending to visit WTAMU must undergo a restricted party screening as a pre-condition of their visit to WTAMU.

All international visitors whether present or not in the United States must undergo a restricted party screening when the international visitor:

will be involved in a research project or collaboration, and will have access to laboratories and research facilities for the purposes of observing or conducting research;

will be issued a WTAMU identification card, keys to offices or laboratories, or otherwise be given access to the WTAMU computing system in any manner; or

will be paid an honorarium, will be reimbursed for expenses, or will be provided something of value.

It is the responsibility of all employees at WTAMU who intend to host an international visitor to notify and request approval of such visit from the Export Control Official, or the Director of SRS, before the arrival of the International Visitor.

INSTRUCTIONS: Complete the below form for each international visitor and the entity they either represent or are employed by. Forward the completed form to srs@wtamu.edu. Please allow a minimum of 3 working days for the screening to be completed. If additional information is necessary to complete the screening you will be contacted. Results of the restricted party screening will be sent to you via email. Have questions? Contact Kaaren Downey 651-3554 / kdowney@wtamu.edu.

INTERNATIONAL VISITOR

Name:	Click here to enter text.

Address:	Click here to enter text.

City/State:	Click here to enter text.

Country:	Click here to enter text.

COMPANY OR INSTITUTION BEING REPRESENTED

Name:	Click here to enter text.

Address:	Click here to enter text.

City/State:	Click here to enter text.

Country:	Click here to enter text.

Date of Visit:	Click here to enter text.

WTAMU Point of Contact:	Click here to enter text.

WTAMU POC email/phone:	Click here to enter text.

Purpose of Visit:	Click here to enter text.