ACU Fellowships application form

Please read the fellowship details and terms and conditions and ACU privacy policy before applying.

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University of employment *

Is the university where you are employed an ACU member? Please check the list of members on the ACU website before answering this question. *

Yes

No

Country of employment *

For which fellowship are you applying? *

Personal details

Title *

First Name *

Last Name *

Gender *

Street Address *

Address Line 2

City *

Country *

Phone Number (including dialing and country code) *

Email Address *

Twitter

Job title *

Department *

Attach a detailed CV (PDF format) *

Fellowship plan

Planned start date of collaboration * +

Planned end date of collaboration * +

Partner(s) You can apply for the fellowship to work with either one or two partners. These should be located outside your country of residence and, if they are universities, must be ACU members. *

	Institution name	Country	Collaborator name	Collaborator department	Collaborator job title
Partner 1	Institution name	Country	Collaborator name	Collaborator department	Collaborator job title
Partner 2	Institution name	Country	Collaborator name	Collaborator department	Collaborator job title

If your application is for a research collaboration, choose the Joint Academic Coding System Classification which best fits the subject of your research

Choose either one or two UN Sustainable Development Goal(s) which best relate to your project. Please read the information on the Sustainable Development Goals (SDGs) website before responding *

Statement 1: Summarise the work you plan to carry out during the fellowship, and how the collaboration will benefit the project. Please also explain why you have chosen to collaborate with this particular partner institution for the project rather than any other. This should be written for an audience without prior knowledge of the subject and any abbreviations or specialist terms should be explained (200-300 words) *

0/300 words

Statement 2: Describe the likely impact of your fellowship work. Your examples can focus on the global, the national and the local. Think about who will benefit from the work, considering academic / university development and social impact alongside academic impact. (200-300 words) *

0/300 words

Statement 3: How do you expect the fellowship to benefit your own professional development? (100 - 300 words) *

0/300 words

Statement 4: List the planned outputs of the fellowship. This could be in the form of journal articles, blogs, conference participation, grant applications, media, community or policy engagement, exchange agreements with your host institution or others (100 - 300 words) *

0/300 words

Time Plan
Submit a time plan of the work, to cover at minimum January – July 2021. This should include the points of contact with your collaborator and how communication will be sustained and over what platforms. (PDF format) *

Letter/Email of support from collaborator at partner institution(s).

This should confirm willingness to host the fellowship, and support for the planned collaboration. If a letter, it must be signed and on institutional headed paper (PDF format), or if an email, it must be from an official university email address. *

Amount of funding requested *

	Amount in GBP (if none enter 0)
Staff time	Amount in GBP (if none enter 0)
Consumables	Amount in GBP (if none enter 0)
Internet access & data	Amount in GBP (if none enter 0)
Equipment	Amount in GBP (if none enter 0)
Research data management	Amount in GBP (if none enter 0)
Impact and engagement	Amount in GBP (if none enter 0)
Open access	Amount in GBP (if none enter 0)
Total (max 5000 GBP)	Amount in GBP (if none enter 0)

Will costs be matched by your home institution or other funding? If so, give details

Confirmation of support from home institution

You must submit a letter or email of support from your head of department at your ACU member home institution, both to act as a reference for your work and to confirm the following:

a) the institution endorses the programme of work proposed;
b) the institution will be prepared to administrate and account for any funding provided by the ACU for the Fellowship.

If a letter, this must be signed and submitted on institutional headed paper. If an email, this must come from an official university email address.

Confirmation of support letter/email from your home institution *

Privacy statement

All data will be processed in accordance to the General Data Protection Regulation (GDPR) and the Data Protection Act 2018. For more information on how we hold and process your data, including your individual rights, please see our privacy notice

The data that you submit in the application form, not including contact details, will be shared with members of the fellowships selection committee for purposes of assessing your application.

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