Institutional Resource Questionnaire to Help Physicists Impacted by the War in Ukraine

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The data entered in this form will be treated confidentially and shared only as needed, in order to help coordinate efforts with e.g. the Institute of International Education’s Scholar Rescue Fund. Contact information will not be shared with third parties and is only collected to facilitate coordination with your Institution. We deeply appreciate the resources your Institution is able to provide. Should the level of possible commitment evolve as time passes, you may resubmit this form in the future to update your responses.

Email *

Name of the University/Institute *

Name of the Division, School, or Department *

Name of the person authorized to allocate resources on behalf of the Department, Division or Institution (for the purpose of official communication, if needed) *

Contact phone number (need not be that of the person named above, an assistant or staff person would suffice) *

Email of the contact person *

Summary of resources the Institution is able to provide to host scientists affected by the war in Ukraine

Will your Institution be able to host graduate students (pre-PhD) from the affected region? *

Yes, can provide student stipend

Yes, can provide student accomodation

Required

If the above answer is yes, how, many students (approximate) can the Institution support *

Will your Institution be able to host post-PhD scientists from the affected region? *

Yes, will provide family accommodation for scientist and their family

Yes, will provide accommodation or allowance sufficient to secure lodging

Yes, will provide office space

Yes, may be able to provide salary (e.g. adjunct professor status)

Required

If the above answer is yes, how many post-PhD scientists can the Institution host? (we appreciate that precise number may not be known, and the levels of institutional commitment may change over time; we only ask for a ballpark figure to help us gauge the level of support. You will have a chance to edit your response in the future) *

Does your university/institute already have an affiliation with Scholars at Risk (SAR) or the IIE Scholar Rescue Fund (SRF)? The SAR membership list can be accessed here: https://www.scholarsatrisk.org/membership-directory

Yes

Clear selection

Would your university/institute be willing to allocate its support to physicists identified by SAR or SRF from outside the current conflict region (e.g., physicists in need from other parts of the world)?

Yes

Maybe

Clear selection

Any comments or remarks?

A copy of your responses will be emailed to the address you provided.

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