Expression of Interest Form

Edith Cowan University
2018 Government New Colombo Plan Scholarships
Expression of Interest Form
Please read in conjunction with Guidelines or following this link: 2018 NCP Scholarships Program
Guidelines
For an ECU student to be considered for one of the 2018 Australian Government New Colombo Plan
Scholarships, this form must be fully completed and then returned electronically by Wednesday 28
June 2017 to:
Michelle Tottman
International Liaison Officer (ILO) for Government Funding
[email protected]
Name of Student
Gender
M/F
Date of Birth
Please note: be aged from 18 to 28 (inclusive) as at 1 January in the year of the
commencement of their Scholarship Program (2018)
Email
__/__/____
Mobile Phone
Are you an Australian Citizen?
Yes
No
If yes, do you have dual citizenship, permanent residency or similar in
another country/location?
Yes
No
Please provide details:
Please note: You must undertake your Scholarship in a third Host Location, in
which you do not have citizenship or residency rights; and in which you have not
previously been a citizen or permanent resident.
Your graded average (Weighted Average Mark) – Must be a minimum of 70%
Degree Program Enrolled in
Please note: must be undertaking a Bachelor Degree
or Bachelor Honours Degree and enrolled in units at
ECU during the application process
Police Check: I consent to ECU undertaking a
Yes
No
police check on my behalf (New Government
criteria)
Outline your reasons for applying for this scholarship Provide approximate word count or number of
paragraphs/points?
Telephone: 6304 5300
Email: [email protected]
Edith Cowan University
2018 Government New Colombo Plan Scholarships
Proposed Scholarship
Program
Please note: Students
must undertake a full-time
study program for which
they will receive full credit
at their Home University
towards their Bachelor
Degree or Bachelor
Honour’s Degree.
Mandatory Study Component - What is your intended program and is it 1 or 2
semesters in 2018? (eg Exchange Place with XXX university studying
Engineering (unit …..) in Semester 2 2018)
Details of Internship/Mentorship (if applicable)
Details of Language Component (if applicable)
Where do you intend to take up the scholarship?
Scholarship Programs can be conducted in the following 40 Indo-Pacific Host Locations: Bangladesh,
Bhutan, Brunei Darussalam, Cambodia, China, Cook Islands, Federated States of Micronesia, Fiji, French
Polynesia, Hong Kong SAR, India, Indonesia, Japan, Kiribati, Laos, Malaysia, Maldives, Marshall Islands,
Mongolia, Myanmar, Nauru, Nepal, New Caledonia, Niue, Pakistan, Palau, Papua New Guinea,
Philippines, Republic of Korea, Samoa, Singapore, Solomon Islands, Sri Lanka, Taiwan, Thailand, TimorLeste, Tonga, Tuvalu, Vanuatu and Vietnam.
Primary Location:
Secondary location (if applicable):
Note: Scholars may apply to undertake their study and/or Internship component in more than one eligible Host Location and/or Host
Institution/Organisation, where it adds meaningful value to the core Scholarship Program. Where the Scholarship Program is undertaken in
more than one location, the Scholar must nominate a primary location on their application form
ECU has current student exchange partnerships with:
China:
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India:
Guangdong Baiyun University - External link
Jiangxi University of Finance and
Economics - External link
Nanchang Hangkong University - External link
Nanchang University - External link
North College of Beijing - External link
Shaanxi Normal University - External link
Shanghai Maritime University - External link
Shanghai University of Electric
Power - External link
Shenzhen University - External link
University of Shanghai for Science and
Technology China - External link
Zhejiang Normal University - External link
Zhejiang University of Media and
Communications - External link
Zhejiang University of Science and
Technology - External link
Zhuhai College of Jilin University - External link
Telephone: 6304 5300
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Gujarat National Law
University - External link
Pandit Deendayal Petroleum
University - External link
Symbiosis International
University - External link
Republic of Korea:
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Kyungpook National
University - External link
Singapore:
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Nanyang Technological
University - External link
Email: [email protected]
Edith Cowan University
2018 Government New Colombo Plan Scholarships
Hong Kong:
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Taiwan:
Hong Kong Baptist University - External link
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Taipei National University of the
Arts - External link
Japan:
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Himeji Dokko University - External link
Kansai Gaidai University - External link
Konan University - External link
Kyoto Sangyo University - External link
Nagasaki University - Link
Tokyo City University - External link
Tokyo Metropolitan University - External link
Please list details of the Host Institution(s).
Country of Host Institution(s):
Name of Institution(s):
Please note: Evidence will be required of an affiliation with the host institution if the nominated institution is not a
current ECU exchange partner. This is not required at this stage.
Addressing the Selection Criteria
The following are the selection criteria against which applicants will be assessed by the Department of
Foreign Affairs and Trade (DFAT) who administer this program.
Please provide a brief statement in response to each of the 4 questions listed below
1. Academic excellence at the tertiary level (40 per cent weighting)
Assessment of this criterion will relate to a) the applicant’s graded average achieved in tertiary studies,
and b) to ungraded academic achievements, such as academic awards and commendations,
publications, or other examples of academic excellence at the tertiary level. The applicant’s
communication skills, higher-order cognitive and critical thinking skills, and engagement in learning will
also be assessed. High School academic achievements will not be considered.
Telephone: 6304 5300
Email: [email protected]
Edith Cowan University
2018 Government New Colombo Plan Scholarships
2. Leadership in the community (30 per cent weighting)
Assessment of this criterion will relate to the applicant’s demonstrated leadership in the community,
including volunteer and not-for-profit roles and/or activities they have undertaken in their local
community, nationally, overseas and/or in their university.
3. Adaptability and Resilience (15 per cent weighting)
Assessment of this criterion will relate to the applicant’s potential to adapt to change, thrive in a
different environment, and demonstrate resilience in the face of challenges.
4. Ability to contribute to New Colombo Plan goals (15 per cent weighting)
Assessment of this criterion will relate to the applicant’s understanding of New Colombo Plan
objectives, and how the applicant and their proposed Scholarship Program would contribute to New
Colombo Plan goals.
Telephone: 6304 5300
Email: [email protected]
Edith Cowan University
2018 Government New Colombo Plan Scholarships
Important: Giving false or misleading information is a serious offence under the Criminal Code Act
1995
Declaration: I declare that the information I have supplied on this form and in associated
attachments is complete, true and correct, to the best of my knowledge. I understand that if
any information is found to be incorrect, my application may be cancelled.
and
I give my consent to Edith Cowan University to use and/or disclose my application
and all supporting documents to the external scholarship provider for the purpose of
shortlisting and selection.
Signature:
Date:
Please obtain your Course Coordinator’s approval:
Course Coordinator’s Details:
Name:
Signature:
Units to be undertaken (if known):
School Name:
Telephone: 6304 5300
Email: [email protected]