Application Form Comenius programme Teaching Fellows 2021

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Application Form Comenius Teaching Fello

Administrative details of the applicant................................................................................1

About the project............................................................................................................1
About the applicant and the project team............................................................................3
Declaration of the immediate supervisor regarding the tasks and budget management..............3
Declaration and signature of the applicant...........................................................................4

Administrative details of the applicant

Applicant
Name, title Inititals, first name and last name + academic
titles
Institution Institution
Faculty / institute / Faculty
domain
Department/educatio Department/programme
n programme
The applicant has to be the same person as listed in the preliminary application.

About the project

Administrative details
About the project
Title Title
(may differ from the preliminary application)

Theme Select an item

(cannot differ from the preliminary application)

Department / Departement/Degree programme

programme (context
of the project)
Course / track / Course / track / pathway etc/
trajectory, etc.
Level Select an item

Academic discipline Select an item

Duration of the Start date until End date

project (min 12 months, max 18. Start date not before 1 May 2021, end date not after 31 October 2022)

Requested budget €
(min €45.000, max €50.000)

Summary
Give a summary of your project proposal. Use no more than 250 words. This summary may differ
from the one in the preliminary application.

Dutch

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 Application Form Comenius programme Teaching Fellows 2021

Please insert your summary

English
Please insert your summary

Word count summary: number of words used (max 2 x 250)

Project proposal
Please describe your project under the headings formulation of the problem, innovation and
objected results. Use a maximum of 1000 words.

Formulation of the problem

Describe where and why there is room for improvement in your educational programme(s). Show
how your project connects to the selected theme. Pay attention to assessment criteria 1a-b and 2a-
f as described in the Call for Proposals.

Innovation and objected results

Describe the innovation you propose and the objected results of the innovation. See the
assessment criteria 1a-b and 2a-f as described in the Call for Proposals.

Word count problem formulation, innovation and objected results: number of words used
(max 1000)

Project plan
Describe your innovation project under the headings overview of the project plan, evaluation and
risk analysis, composition of the project team and plan for dissemination. Use a maximum of 1500
words (including the table).

Overview of the project plan

Describe your project plan: design and implementation of the innovation, and a description of the
activities and planning. See assessment criteria 3a-e.

Evaluation and risk analysis

Describe the plan for the evaluation of the activities and results of the project, and a brief risk
analysis that lists potential obstacles. See the assessment criteria 3b and d.

Composition of the project team

Describe your project team: which people and/or expertise are necessary to make this project a
success. See assessment criterion 3c, and incorporate the following table (no max. amount of team
members).

Name Organisation Function Role in this project

Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role
Name Organisation Function Role

Plan for dissemination

Describe how and where the results of the project will be shared.
Word count project plan: number of words used (max 1500)

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 Application Form Comenius programme Teaching Fellows 2021

References (max 1 page)

List of (literature) references. Use for the references font style verdana, size 9.

Budget
Use the .xls-format (can be downloaded via ISAAC) to provide an overview and explanation of the
budget. Upload the budget separately via ISAAC. Make sure that the amount filled in on page 1
matches that of the budget in the format. If you declare co-financing, add a letter of guarantee at
the end of this application form.

About the applicant and the project team

Teaching experience
Please describe the relevant teaching experience of the applicant and the project members.
Relevant teaching experience includes all activities related to teaching and learning at higher
education institutions, such as teaching students, curriculum development, pedagogical research in
higher education, and the development of university educational policy/strategy. Give for the entire
project team a maximum of 8 examples. Use for every individual example a separate row.

Name Description of teaching experience Period

Name Description year
Name Description year
Name Description year
Name Description year
Name Description year
Name Description year
Name Description year
Name Description year

Professional Statement of the applicant (max. 800 words)

Describe your vision on education and educational leadership and how you implement this in your
teaching. Make sure to include how your teaching experience and (previous) position(s) contribute
to this project. Support your statement with references to literature and/or examples from your
own educational experience. Describe, furthermore, how the Comenius grant and membership of
the ComeniusNetwork may contribute to your ambitions and educational career.
Professional Statement. See criterion 4 of the Call for Proposals.

Word count professional statement: word count (max 800)

Declaration of the immediate supervisor regarding the tasks and

budget management
Space for the declaration of the immediate supervisor of the applicant. This can be the same declaration used in
the preliminary application. The declaration may not exceed 250 words and should make clear that the
immediate supervisor:
- has the authority to decide on the range of duties and responsibilities of the applicant
- will grant him/her and the project team the opportunity (in terms of time and support) to carry out the
project as proposed in this application.
- will appoint the applicant as budget manager of the material budget.

Insert the declaration here. You can also add a separate declaration as an attachment tot his
application. Merge the PDFs to one PDF-file, with the declaration behind the application form.

Name Signature
Date

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 Application Form Comenius programme Teaching Fellows 2021

Declaration and signature of the applicant

☐ I hereby declare that the applicant has submitted maximum one application in the Comenius
programme 2021 (Teaching Fellows, Senior Fellows and Leadership Fellows).
☐ I hereby declare that I will not submit this proposal in any other public subsidy programme.
☐ I hereby declare that the information provided in this form is correct.
☐ In case this project proposal is granted, I grant my permission to forward my full name, e-mail
address, and the title and summary of the project to the secretary of the ComeniusNetwork.
☐ I grant my permission to forward my full name, e-mail address and my application to the
Ministry of Education, Culture and Science.
☐ (Optional) I grant my permission to forward my full name and e-mail address to the subsidy
advisor/contact person of my institution. This way my institution can keep track of the number of
submitted applications.

Name Signature

Date

After completing the application form, save this as a PDF-file and submit this through the online
application system ISAAC. The closing date for submitting an application is the 12th of January
2021 at 14:00.