Application Form for 2011 Nfp - PDF

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Application Form for 2011 Nfp - PDF Powered By Docstoc
					NETHERLANDS FELLOWSHIP PROGRAMMES
FORMAT FOR AN OUTLINE FOR A SUBSIDY REQUEST TO FINANCE
A REFRESHER COURSE STARTING IN 2011

     Date of receipt by Nuffic:



     Nuffic file number (SOL):


(This box will be completed by Nuffic)


A subsidy to finance a refresher course may be requested by a Netherlands Alumni Association (NAA), an NFP-alumnus, his
or her employing organization or a Dutch provider. The refresher course may be conducted by either the Dutch organization
that provided the original training course or by a different Dutch provider qualified in the field of expertise concerned.

The Netherlands Fellowship Programmes offer funds for refresher courses for NFP alumni. To a limited extent colleagues of NFP
alumni can join NFP alumni and attend the course. These colleagues should be direct colleagues who work in the same organization
or organizational unit of the NFP alumnus. Also, one or two staff members of the partner institute in the NFP country concerned
are allowed to attend the refresher course. Although all NFP alumni may participate in a refresher course – including those from
countries which are no longer on the current NFP list – the course itself must take place in one of the countries on the NFP list
at the time of application.


Organizations in developing countries applying for refresher courses must:
– be situated in one of the countries on the NFP country list valid at the time of application (see www.Nuffic.nl);
– not be a large industrial, commercial, international or multinational organization, which can be assumed to have sufficient
resources of its own to finance staff training.


Refresher courses are meant to increase the impact and prolong the effect of earlier training or education obtained under NFP.
For a complete overview of the criteria for refresher courses please visit our website (www.nuffic.nl) or read the NFP brochure.
Proposals for refresher courses to be implemented in 2011 should be submitted to Nuffic before 31 October 2010.


Please note that in the selection of the refresher course proposals, preference will be given to proposals for refresher courses that
comply with one or more of the following NFP priority criteria:
       •    the refresher course has a clearly demonstrated gender component;
       •    the refresher course will be jointly implemented by a Dutch provider and an institution or organization in the country or
            region concerned;
       •    the refresher course takes place in Sub-Sahara Africa.


This application form includes the following parts:
I.          General information about the course
II.         Information about the participating organizations
III.        Description of the proposed refresher course
IV.         Requested financial support (provisional budget)
V.          Provisional list of participants




100801 NFP REFRESHER COURSE APPLICATION FORM 2011                                                                                   1
I. General information about the course

I.1 Basic data on the refresher course

 Name of the organization
 making the request:


 Title of the refresher course


 Country where the course will
 take place:


 Field of study


 Proposed course period and
 duration (in weeks)


 Language in which the
 refresher course will be
 conducted


 Outline is part of Multi Year                 YES
 Agreement?                                    NO



II. Information about the participating organizations*
* For every organization involved in making this request for a refresher course the next two sets of data ('basic data'
and 'short profile of the organization') should be provided .


II.1       Basic data
Name of the organization


Acronym or abbreviation


Company or business registration
number (if applicable)

Address


Postal code - City


District - Region


Country


Telephone


Fax


Website


Bank account number




Details of coordinator for this refresher course
Name

M/F

Position

E-mail address

Telephone




100801 NFP REFRESHER COURSE APPLICATION FORM 2011                                                                     2
II.2     BRIEF PROFILE OF THE ORGANIZATION
What is the mission of the
organization? What are the main
activities of the organization?
(max. 250 words)




III. Description of the proposed refresher course

III.1 Target group of the refresher course
To which programme(s) or
course(s) is this refresher course
related (please state the
names)?
How will participants for this
refresher course be recruited?



On which criteria will the
selection of participants be
based?

How will the prescribed minimum
participation by NFP alumni (at
least 60%) be achieved?

How will the prescribed minimum
participation by female students
(at least 50%) be achieved?

Who will be responsible for the
selection of the participants?



What is the expected number of
participants of the refresher
course?




III.2 Relevance, objectives and outputs of the Refresher course
How will the proposed Refresher
Course increase and prolong the
effect of the original programmes
or courses?
What is the relevance of this
refresher course for the
participants and the
organizations they work for?
What are the main objectives of
the proposed refresher course?



In what way are gender issues
addressed in the content of the
course

What are the anticipated outputs
of the proposed Refresher
Course ? (Please be as specific
and concrete as possible)



III.3 Content and implementation of the refresher course
How are the responsibilities and
tasks related to the refresher
course divided between the
organizations involved?
Please describe the content
and/or modules of the proposed
course

How are the content and the
modules related to objectives of
the course?




100801 NFP REFRESHER COURSE APPLICATION FORM 2011                 3
What is the reason for the
proposed structure of the
refresher course?

What are the modes of
instruction (teaching methods)
to be used in the refresher
course?



III.4 Evaluation of the refresher course
How will the course be evaluated
by the participants?



How will the course be evaluated
by the participating
organizations?

Will there be any follow-up
activities in order to increase the
effective implementation of the
training outcomes?


IV. Requested financial support (provisional budget)*
*The maximum budget for a refresher course is €75,000. Please use the prescribed format to make a provisional
budget overview for the proposed refresher course(s). If your proposal is selected for a subsidy, you will be
requested to make an official grant request two months before the start of the refresher course.

V. Provisional list of participants (if applicable)*
* If you already know (part of) the group of participants you wish to nominate for the refresher course, you can list
them here. If your proposal is selected for a subsidy, you are requested to submit a definitive list together with the
official grant request.

           Name                       Sex       Age   Organization   Position           NFP        Previous programme or
                                      (M/F)                                             alumnus    course
                                                                                        Y/N
   1                                  -------



   2                                  -------



   3                                  -------



   4                                  -------



   5                                  -------



   6                                  -------



   7                                  -------



   8                                  -------



   9                                  -------



   10                                 -------



   11                                 -------



   12                                 -------



   13                                 -------



   14                                 -------



   15                                 -------



100801 NFP REFRESHER COURSE APPLICATION FORM 2011                                                                    4
   16                                -------



   17                                -------



   18                                -------



   19                                -------



   20                                -------




Nuffic is a non-profit, professional organization aimed at making education accessible all over the world. Among other things, it
supports national strategies for human capacity-building by administering fellowship programmes for post-secondary study and
training, either in the North or in the participant's home region.


The information requested in this form will be used for administering the fellowship and for alumni purposes.


Please send you refresher course application to the following address:
Nuffic
Capacity Building and Scholarship Directorate
Scholarships Department
P. O. Box 29777
2502 LT The Hague
The Netherlands


Telephone:    +31-70-4260260
Fax:          +31-70-4260399
Website:      www.nuffic.nl/nfp




100801 NFP REFRESHER COURSE APPLICATION FORM 2011                                                                               5

				
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