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 Page |2 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. Page |3 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]: Page |4 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: Page |5 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]: Page |6 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: Page |7 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]: Page |8 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: Page |9
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