Please complete the following online intake form if you require assitance on matters regarding Export Controls. If the requested services is not listed, please provide as much information on the desired request or question. Name * Email * Role * - Select -FacultyStaffStudentOther (explain) If you select Other, please explain Department * Request Services * - Select -Foreign Shipping ReviewTraining RequestForeign Visitor ScreeningForeign Travel ReviewOther (explain) If you select Other, please describe Destination Purpose of Travel Dates Universities/Entities Being Visited Any technology, computers or personal devices being taken? Yes No Other If you select No, please provide a detailed description of all being taken Name and address of intended recipient Affiliated institution of intended recipient* * Item(s) being shipped Manufacture and serial/product number of item(s) being shipped Intended use of items being shipped Additional Documentation Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx. Additional Comments Name of Visitor Home Address of Visitor Visitor’s Citizenship Upload Curriculum Vita/Resume of Applicant * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf doc docx ppt pptx xls xlsx. Purpose of Visit Dates of Visit Will Visitor have access to export controlled or other sensitive data and or technology? Yes No If you select Yes, please provide more detail Topic of Interest General Export Controls Export Administration Regulations (EAR) International Traffic Arms Regulations (ITAR) Fundamental Research Exclusion (FRE) Foreign Travel Shipping Other If you select Other, please indicate Request Date Specific Questions or Concerns Thank you for filling out the Export Control Intake Form! You will receive a confirmation email upon submission of this form. For additional questions, please contact [email protected].