Application Steps:1. Please read the New Colombo Plan Mobility Program Guidelines carefully.

2. Please complete and sign this application form.

3. Please email the completed form to Joel Wittwer (joel.wittwer@uw.edu.au) by 11th May COB. If the form is saved as PDF, please also email the Word document version.

A) Project Details:

Project Officer Name*:

Position Title:

School: Phone:

Email:

4. *The person listed here must be able to act as a liaison to the Department of Foreign Affairs and Trade and may be contacted regarding the program.

Project

5. Program [Semester/Short-Term]:

6. Field of study (as per ASCED Field of Education):

Broad: Narrow: Detailed:

7. Host Location(City, Country):

8. Project type:

New project An existing project funded via alternate funding A previously funded NCP project

9. Number of years of funding required:

1 year 2 years 3 years

10. Is this application on behalf of a consortium? [Yes/No]:

a) If yes, provide name of consortium:

b) If yes, list consortium members:

11. Project title:

12. Project description (150 words maximum):

Give an overview of your proposed Mobility Project. This field does not contribute to the project's weighted score, but does provide background information to help assessors understand the nature of your project proposal. Note: this description should be written in a way that is suitable for publication.

When responding, consider the following points:

Do not include information that does not pertain to the Mobility Project Indicate whether your Mobility Project can be scaled up or down If your application includes a secondary host location, use this section to describe how it will

feature in your Mobility Project Describe your project in a manner that a non-specialist would understand Keep your descriptions brief and concise Include secondary locations if applicable

13. Qualification level:

Bachelor degree Bachelor honours degree Concurrent diploma

14. Study experience(s):

Semester-based study Short-term study Practicums

Clinical placements Internship / mentorship Short-term research

15. Does the study experience attract credit or is it a mandatory course requirement? [Yes/No]:

NB: Mobility projects must attract course credit or fulfil mandatory course requirements.

16. Faculty, school or specialisation:

17. Project point of contact (Project leader, for example, Head of Faculty or School):

a. Name:

b. Position:

c. Phone:

d. Email:

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18. Project partners

NB: Please include details for each project partner including host institutions, private sector sponsors, internship hosts, etc. At least one project partner must be listed. There is no upper limit to the number of project partners, and more than one partner may be active in each year.

1. Project partner 1

a) Partner name:

b) Year(s) which partnership may be active:

Year 1

Year 2

Year 3

c) Partnership status:

New

Existing

d) Partner type (choose one from options below):

Host institution Internship host Non-government organisation Offshore campus Overseas university

Private business Private sector organisation

[Internship or Mentorship host] Private sector organisation

[project sponsor]

2. Project partner 2

e) Partner name:

f) Year(s) which partnership may be active:

Year 1

Year 2

Year 3

g) Partnership status:

New

Existing

h) Partner type (choose one from options below):

Host institution Internship host Non-government organisation Offshore campus Overseas university

Private business Private sector organisation

[Internship or Mentorship host] Private sector organisation

[project sponsor]

19. Project travel dates

Anticipated travel dates [mm/yyyy to mm/yyyy]

a. Year 1:b. Year 2 [where applicable]:c. Year 3 [where applicable]:

NB: You can have more than one set of anticipated travel dates within each year. Ensure that travel dates are consistent with the timelines provided in the 2016 NCP Mobility Program guidelines.

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Finances

20. Proposed funding sought (automatically calculated)

a. Indicative student numbers:

b. Grant amount per student:

c. Internship grants [semester projects only*]:

d. Are you seeking administrative funding [Yes/No]:

(this is calculated as 10% of the total grant funding sought)

21. Project contributors

1. Project contributor 1a) Partner name:b) Year(s) to which contribution applies, and value of contribution for each year:

Year 1, contribution amount ($): Year 2, contribution amount ($): Year 3, contribution amount ($):

c) Partner type (choose one from options below): Home University Private sector sponsor (nb: you must provide supporting documentation to

demonstrate this financial contribution)d) If private sector sponsor, partnership status:

New Existing

e) Comments (optional, 100 words maximum):

2. Project contributor 2a) Partner name:b) Year(s) to which contribution applies, and value of contribution for each year:

Year 1, contribution amount ($): Year 2, contribution amount ($): Year 3, contribution amount ($):

c) Partner type (choose one from options below): Home University Private sector sponsor (nb: you must provide supporting documentation to

demonstrate this financial contribution)d) If private sector sponsor, partnership status:

New Existing

e) Comments (optional, 100 words maximum):

NB: There is no upper limit to the number of project contributors, and more than one project contributor may apply to each year.

ISEO will automatically calculate the full amount of project funding based on the parameters you provide for each year of the project.

* Internship grants are only available to semester grants that comply with specific conditions. See section 2.2.3 of the 2016 NCP Mobility Program guidelines for more information.

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Selection criteria

Criterion 1

Support increased student mobility that lifts knowledge of the Indo-Pacific in Australia(200 words; 40 per cent weighting)

Applicants should describe how the proposed Mobility Project will support increased student mobility that lifts knowledge of the Indo-Pacific region and Host Location among Students

Responses should include examples of how this will occur, for example through cultural training, engagement with local social and cultural institutions or direct engagement with local community, business or academic networks.

Criterion 2

Support for new and/or strengthened partnerships (150 words; 30 per cent weighting)

Applicants must demonstrate how the proposed Mobility Project establishes or strengthens people-to-people and institutional relationships with the region, through the engagement of Students, universities, businesses and other stakeholders and how the relationships provide a strategic opportunity for enhanced engagement.

Responses should also give consideration to the sustainability of partnership(s).

Criterion 3

Promote the New Colombo Plan, study and Internships in the Indo-Pacific region(100 words; 10 per cent weighting)

Applicants must demonstrate how the proposed Mobility Project will promote the New Colombo Plan and its objectives, for example through:

recognition of New Colombo Plan funding and Student participation building awareness and demand for mobility experiences in the region among students New Colombo Plan and Mobility Project promotion, advertising and media engagement.

Criterion 4

Support for semester-based study opportunities in the Indo-Pacific (5 per cent weighting; Yes/No)

NB. Short-term projects cannot respond “Yes” to this criterion. For short-term projects this criterion is pre-filled by ISEO.

Criterion 5

Support for language acquisition(5 per cent weighting; Yes/No)

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Criterion 6

Support for Internships in the Indo-Pacific (5 per cent weighting; Yes/No)

Applicants must advise whether their Mobility Project will incorporate an Internship component in the Host Location.

NB: Applicants should answer ‘Yes’ to this question if:

they seek funding for Internships Grants, and/or the Mobility Project comprises or includes a short-term or semester-length Internship,

clinical placement or practicum.

Criterion 7

Private sector sponsorship of the New Colombo Plan (5 per cent weighting; Yes/No)

Criterion 8

How will you be promoting this project to ensure it is inclusive to diverse student groups (including but not limited to Low SES areas, students from regional/remote areas, students across genders, females in non-traditional fields and students from non-English speaking backgrounds?)

Additional selection criteria

NB: You will only need to respond to these criteria if you include internship grants in your finances tab, or if your project extends for more than one funding term.

Internship grant criterion 1

Demonstrate how the Mobility Project will incorporate an Internship (100 words)

Applicants must describe the proposed Internship component, including information on the potential Internship host, the proposed benefits to the participants from the Internship, the proposed duration of the Internship, confirmation that the university has considered visa requirements (if applicable), and any other relevant information.

Multi-year funding criterion 1

Demonstrate how Multi-year Funding will support the Applicant to deliver a long-term and sustainable increase in student mobility to the region that could not be facilitated by Single-term Mobility Project applications (100 words)

Applicants must describe how Multi-year Funding will support their institutional strategy to increase and sustain student mobility to the Indo-Pacific region, including how the Multi-year Funding will assist the Applicant to:

stimulate new opportunities to scale-up and sustain ongoing student mobility strengthen and sustain partnership(s) with the Project Partner(s).

Declaration by Project Officer

I declare that the contents of this application are true and correct.

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Name: Signature: Date:

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