Student Experience Committee Funding Scheme
Application Template
Please refer to the Student Experience Committee Funding Scheme guidelines when completing this application. The
application must be completed, printed and signed by the appropriate staff before being scanned and submitted as a
PDF document. To complete this document, please place your cursor in the grey block text areas and type a response.
If you have any questions, please contact the Office of the Deputy Vice-Chancellor (Students & Education) on
6226 1926.
Proposed Project Title
Total amount of funding sought
Lead Applicant
Given Name
Surname
Job Title:
School/Section &
Faculty/Institute/
Division:
Telephone:
Other Participants (Add in/delete rows as needed).
Given Name
Surname
Job Title:
Email
Qualifications:
School/Section &
Faculty/Institute/
Division:
Telephone:
Given Name
Email:
Surname
Job Title:
Qualifications:
School/Section &
Faculty/Institute/
Division:
Telephone:
Given Name
Email:
Surname
Grant Description
Rationale and Project Objectives (The overall objectives of the proposed grant and the context for its relevance
and/or importance to the achievement of Student Experience Plan strategic goals)
Approach (Describe the methods/methodologies and timelines)
Project Deliverables and Outputs (The specific activities and/or resources expected to be developed and shared
to meet the grant objectives)
Evaluation and Dissemination (A description of intended sharing strategies and the formative/summative
evaluation measures expected to be taken)
Budget and Justification (An itemised budget that will require acquittal at the end of the project)
SECTION 3: GRANT CERTIFICATION
Certification of Application
Certification by Lead Applicant
I certify that all details in this application are correct and complete and I agree to fulfil the obligations of recipients as
described in the Student Experience Committee Funding Scheme Guidelines. I certify that all persons listed have
agreed to take part in the proposed project activities. I agree that I will commence project activities by April or
August (depending on funding round) of the year of funding and file my report on the outcomes of this project (if
funded) by March of the year following conclusion of project activities.
Signed:
Date:
Endorsed by Heads of Schools and Sections central to the application (remove or add rows as required)
(Name)
(Signature)
(School)
(Date)
(Name)
(Signature)
(School)
(Date)