Partner information (for non-lead partners)

SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
SPHEIR – Strategic Partnerships for Higher Education
Innovation and Reform
Partner information (for non-lead partners)
This form should be completed by all confirmed partners, other than the lead partner. When
completed it should be sent to the lead partner to be submitted with your partnership’s
application.
1. Partner institution information – to be completed by each confirmed partner
Institution or organisation
name
Type of institution/
organisation
University (public)
University (private)
Other tertiary level institution (public)
Other tertiary level institution (private)
International NGO
Country-based NGO
International private sector company
Country-based private sector company
Other (please specify)
Country of registration of
institution
SPHEIR programme management:
SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
1. Partner institution information – to be completed by each confirmed partner
Number of years legally
registered in country
Project lead person at
your institution
Position
Department
Registered address of
institution/organisation
Project lead person email
Project lead person
Skype
Project lead person
phone
Country
Code:
+
City
Code:
Project lead person
mobile
Country
code
+
City
code
Project lead person fax
Country
Code:
+
City
Code:
Senior representative of
institution/organisation
authorising participation
in SPHEIR. (see #4 below)
Name
Phone
Number:
N/A
Mobile
number
Fax
Number:
Position
Phone/Fax
Email
Institution/organisation
website
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
2. Project personnel
Please provide the names and positions of the key personnel from your institution or organisation
who will be directly involved in the delivery of the project and, briefly, what their responsibilities
will be.
Title and name
Position in institution
Role in SPHEIR project
3. CV of lead person
Please attach the CV of the project lead person from your institution, demonstrating their
suitability for the role. This should be sent with this form to the lead partner, to be submitted with
your partnership’s application.
4. Institutional support from the partner organisation
Please attach a letter or other signed official document showing senior level institutional
endorsement for your application and the project proposed.
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
5. Relevant experience
Please provide details of up to three donor-funded projects that are similar or relevant to the
current proposal that your institution has been involved in during the last ten years, using the
following format.
5.1
Project name:
Partner name(s):
Which was the lead institution?
Duration (start year – end year):
Donor:
Value:
What proportion of these funds
were managed by you?
Project objectives [Max 200 words]:
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
5.1
Summary of outcome [Max 200 words]:
Please attach details or provide a link to any independent report or evidence available.
Name and contact details of donor representative for verification:
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
5.2
Project name:
Partner name(s):
Which was the lead institution?
Duration (start year – end year):
Donor:
Value:
What proportion of these funds
were managed by you?
Project objectives [Max 200 words]:
Summary of outcome [Max 200 words]:
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
5.2
Please attach details or provide a link to any independent report or evidence available.
Name and contact details of donor representative for verification:
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
5.3
Project name:
Partner name(s):
Which was the lead institution?
Duration (start year – end year):
Donor:
Value:
What proportion of these funds
were managed by you?
Project objectives [Max 200 words]:
Summary of outcome [Max 200 words]:
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SPHEIR
Strategic Partnerships for Higher Education Innovation and Reform
5.3
Please attach details or provide a link to any independent report or evidence available.
Name and contact details of donor representative for verification:
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