PLACE ON OFFICIAL AUGUSTA UNIVERSITY LETTERHEAD
NOTE: FOR USE WITH J-2 EXCHANGE VISITOR SPOUSES WHO ARE ENGAGING IN RESEARCH AT AUGUSTA UNIVERSITY AS EXCHANGE VISITOR AFFILIATES.
(DATE)
Dear Dr.
I am delighted to host you as an Exchange Visitor Affiliate (####)in the XXXXX Department at Augusta University (formerly Georgia Regents University). This is a (duration in months or years) opportunity, effective from DATEXXXX to DATEXXXX, under the supervision of Dr. XXXXX. Under his guidance you will pursue research in XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX. Your primary site of activity will be in Dr. XXXXX’s lab, CBXXXX on the Augusta University Health Sciences campus at 1120 15th Street, Augusta, GA, 30912, where Dr. XXXXXX will provide space, supplies and equipment for your research.
Please be aware that for the duration of your participation in this Augusta University research project, you will not be considered an employee of Augusta University. Therefore you will not receive a salary, fringe benefits, travel reimbursement, worker’s compensation, professional liability insurance or any other financial assistance from Augusta University. Furthermore, you will not be considered a student of Augusta University. Therefore, you will not be enrolled, receive academic credit, a diploma, a certificate, a degree or other credentials for your activities here. Finally, no patient contact is permitted with this program or any program activities. HOST COULD ADD TEXT HERE THAT FURTHER DEFINES THE SCOPE OF THIS RELATIONSHIP SUCH AS …………..As previously stated, the Department of XXXX will provide space, supplies and equipment limited to the following: XXXXXX. Your project with include the following:……………………………..This letter does not constitute a contract, so does not guarantee any specified time in my laboratory or a specified time in the U.S. While I anticipate a great collaboration, it is at my discretion to end this collaborative arrangement if it is deemed in the best interest of my research program.
I have also enclosed the following Augusta University policies which you must sign and return to me by email; 1) Ethics Policy, 2) Confidentiality Statement, 3) Sexual-harassment Policy, 4) Information systems security and computer usage, 5) criminal background check. Further, a successful physical and drug screen, as well as annual screenings, will be required for your continued participation in your activities. ATTN. MANAGER: YOUR DEPARTMENT WILL HAVE TO COVER THE COST OF THESE CHECKS AND SCREENS.
Results of our research will be treated as confidential and not shared with third parties unless agreed on. Third parties are persons or institutions other than those employed by or affiliated with Augusta University. Information related to intellectual property will also be treated as confidential and is subject to legal regulations effective Augusta University. For further information regarding the details of this program, please contact Dr. XXX at 706-721-XXXX or by email at
Sincerely,Sincerely,
Section Chief/Department ChairFaculty Host
As an Exchange Visitor at Augusta University, I agree to follow all Augusta University policies and procedures. I understand that in the event of a violation of Augusta University policies, I may be disciplined up to and including removal from the Augusta University campus. Certain rights do not apply to me as an Exchange Visitor, including, but not limited to grievance procedures and certain rights of appeal. I further understand that this is not a contract and does not guarantee me a specified time in this department or a specified time in the U.S., and that continuation of my activities in this department are solely at Augusta University’s discretion.
Please sign below to acknowledge your acceptance of the above-stated conditions.
Name:______
Date:______
Return by attaching as a scan to email to XXXXXXX by DATEXXXX.
Cc:Faculty supervisor
Rebecca Johnston Office of Non-resident Alien Tax Compliance File