Form NSF 1580 NSF 1580 Office of International Science and Engineering Cover Pa

Office of International Science and Engineering Cover Page Addendum

(When using FastLane, this Addendum is listed as form for completion after the NSF Cover Sheet has been saved with the OISE Program Solicitation selected.   When requesting a supplement to an existing award, submit this information as a supplemental document.)

Country #1:      

Country #2:      

Country #3:      

Proposal Category:

Planning Visit or Workshop

Developing Global Scientists and Engineers

Partnerships for International Research and Education

Multilateral Organizations

Foreign Counterpart Investigator/Organizer/Host: (Repeat as needed for up to three Foreign Counterpart Investigators/Organizers/Hosts)

Name:      

Department:      

Institution:      

Address:      

     

     

Phone:      

Fax:      

Email:      

For Planning Visit or Workshop Location:

Location City:      

Country:      

Start Date:      

End Date:      

Demographics (people that will be supported by this project):

Number of senior US scientists and engineers (excluding those within 6 years of their Ph.D. and graduate and undergraduate students):      

Number of U.S. scientists within 6 years of the Ph.D. (including PI and/or Co-PI if applicable):      

Number of U.S. graduate students:      

Number of U.S. undergraduate students:      

Number of foreign scientists and engineers (including post-docs, graduate students and undergraduate students) associated with the foreign institution. Include only those that will be supported under this NSF proposal. Do not count foreign participants that will be supported by non-NSF funds.      

NSF 1580 (03/2007) OMB Approval No. 3145-