ECIS OUTREACH GRANT APPLICATION

GENERAL INFORMATION
All fields marked with an asterisk * are required.
Title

Applicant's Given Name (s)

Applicant's Surname*

Email address:

Please include international dialing code

Telephone (Work):

Telephone (Home)

Current post held in member School/Institution:

Name of current immediate supervisor/line manager:

Supervisor Email

Name of applicant's Head of school/institution

Heads Email

ECIS Member School(s) and/or institutions that will be involved with the project:

School/Institution Address

Agreement*
I understand and agree that all projects, materials, publications, inventions, reproductions, and
corresponding copyrights, patents, profits and royalties that are generated as a result of my
fellowship award will become the sole property of ECIS which will use its own discretion in the
determination to use, publish, promote, sell, rent, lease, give away or dispose of all or part of the
project materials at the present or at any time in the future. No material that is already under
copyright will be included in the fellowship project unless I have obtained and included
appropriate written permission from the holder of the current copyright. If I am selected to
receive an ECIS Fellowship Grant, I agree to adhere to the Fellowship Programme guidelines
and will fully complete the project as I have proposed in the attached documents or I will return
all or part of the grant funds as determined by the ECIS Professional Development Committee.
I agree

PROJECT INFORMATION
Proposed Project Title

Involved Parties
Name of all ECIS member school(s) &/or institutions, staff and students that will be involved with
the project

Purpose of Project

Comprehensive description of the format of the completed project

Cross-Cultural Impact
To what extent do you anticipate the project will positively impact others in the promotion of
cross-cultural awareness and understanding, international education and/or service learning?

Expected outcome(s)

Planned Activities
List specific activities/procedures that are planned

Logistics
Please provide a description of logistics and safety precautions for the proposed project. Please
indicate how the safety, care and chaperoning of all students will be handled if the project
involves any local, national and/or international travel and accommodation. If travel will be
involved please be specific with the information included in this section.

Effects to International Education

Please explain how this project will help to advance international education

Midterm Evaluation
What procedure(s) do you plan to use to review and evaluate the success of this project at the
mid-point? Please include the name of at least one professional educator that will be involved in
the review of your project

Completion Evaluation
What procedure(s) do you plan to use to evaluate the project upon its completion? Please
include the name of at least one professional educator that will be involved in the final project
review/evaluation

Previous Fund Request

Have you applied for or received, or do you expect to receive, funds from any other individual,
company, school or agency to support this project?
Yes

No

Detailed Budget
Please develop a budget and itemise below the funds that you are requesting for the proposed
Fellowship project. Please be as specific and complete as possible with each expected expense
listed

Total Amount Requested (in GBP)

Please note, grant maximum is GBP3000

Budget Agreement
I understand that this budget is based on the merits of the proposal and projected costs
expected to be incurred. One third of the stipend will be paid at the beginning of the project, one
third upon receipt of a satisfactory written mid-term evaluation, and the final third upon
successful completion of the project, according to the agreed conditions. Award recipients will
be expected to bear the responsibility for completing the project as approved, subject to any
particular conditions of the award. Failure to complete the project as agreed, could result in the
recipient being required to return all or part of the fellowship award. The stipend will include the
fellowship grant and funds for allocated expenses. Receipts for expenses actually incurred (as
proposed/budgeted in the fellowship application) must be submitted to the ECIS secretariat
upon completion of the project (or sooner), but prior to the release of the final stipend payment.
I agree

PROJECT TIMELINE
Project Start Date (dd/mm/yyyy)

Project Stages
Please list the key stages of the proposed project

Project End Date (dd/mm/yyyy)

Midterm Progress Report

Each Fellowship project that receives a financial stipend must be reviewed at the mid-point by
both the recipient and another professional educator. Each project is unique and no one format
will serve as an appropriate progress report instrument; however, this form is provided as a
reminder of the necessity for the review and it may be used if appropriate for the project. This
form may be duplicated and copies can be used by both the applicant and others.
I agree

Final Report
Each Fellowship project that receives a financial stipend must be evaluated upon its stated
completion date (or upon the actual project completion) by both the recipient and another
professional educator. The evaluation feedback must clearly indicate how successful the project
has been in meeting the initial goals and proposed outcomes. Each project is unique and no one
format will serve as an appropriate evaluation instrument; however, this form is provided as a
reminder of the necessity for the evaluation, and it may be used if appropriate for this project.
This form may be duplicated and copies can be used by both the recipient and others.
I agree

Professional Resume
Please confirm that you will include a copy of your resume.
Yes
Further Information
Is there any further information that you would like to provide in this application?

APPLICATION WRAP UP
Before submitting your application, please verify that you have completed all sections of the
application, below
General Information (Required)
Project Information (Required)
Professional Resume (Required)
Professional Reference 1 (Required)
Professional Reference 2 (Required)
Head of School Approval (Required)
Additional Information (Optional)
Agree
I agree that the information contained in this application is true to the best of my knowledge. I
agree to follow the rules for this grant as laid out in the ECIS Fellowship Grant Guidelines.
I agree

PLEASE SUBMIT TO awards@ecis.org