WARWICK INTERNATIONAL HIGHER EDUCATION ACADEMY
INTERNATIONAL VISITING TEACHING FELLOWSHIPS
APPLICATION FORM 2016
Please refer to the Application Guidance for this programme before completing the application form. If
in doubt about the suitablity of this programme for your project, please consult with the WIHEA prior to
submitting the application. Equally, any queries regarding the completion of this document can be
directed to the WIHEA via WIHEA@warwick.ac.uk.
SECTION ONE - COVER SHEET
Principal Applicant
Department/Centre
Email
Secondary Applicant
Department/Centre
Email
Additional Applicant(s)
Department/Centre
Email
DETAILS OF NOMINATED VISITING FELLOW(S)
Name & Title
Organisation Name &
Address
Email
Role within Home
Organisation
VISIT DETAILS
Type of visit (check appropriate
boxes)
☐ Academy strand
strand
OR
☐ Monash Warwick Alliance
☐ Single Visiting Fellow / Single Visit
☐ Single Visiting Fellow / Series of Visits
☐ Multiple Visiting Fellows
Visit Dates (if proposing a series of Preferred Date
Alternative Date
visits state details of first visit and Start:
Start:
provide addition information in
the case for support)
End:
End:
☐ Technology Enhanced Learning
Priority area(s) for the focus of
☐ Global Employability
the Visiting Fellow programme
☐ Research-led Teaching (for Monash Warwick strand only)
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AGREEMENT OF APPLICANT– The Principal Applicant
a) confirms that the Nominated Visiting Fellow(s) agrees to the submission of this application and
b) agrees that a corresponding award will be managed in compliance with University Financial
Regulations and will adhere to WIHEA reporting requirements.
Name
Signature
Date
SECTION TWO – CASE FOR SUPPORT - Please provide a detailed justification for the visit following the
sub-headings below (750 words)
Overview of the partnership and/or previous collaborations to date:
Purpose and objectives of the visit:
Expertise of the Visiting Fellow(s) and anticipated impact of their contribution:
Rationale for multiple fellows (if applicable:
Significance of the teaching activity:
SCHEDULE AND DESCRIPTION OF PROPOSED ACTIVITIES DURING THE VISIT - Please provide details of
the planned collaborative events and activities including an indication of the intended audience. The
schedule should include at least one public or interdisciplinary activity. Plans for joint projects,
publications and potential funding applications should also be specified as applicable (500 words).
ANNOTATED CV OF PROPOSED VISITING FELLOW- Please attach separately as a Word document or
PDF a CV (maximum 4 pages) of the proposed Visiting Teaching Fellow. The CV should be annotated
to highlight the publications, activities or achievements that are especially relevant to this application
☐ CV included
☐ CV to follow
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RESOURCES–Specify the budget breakdown below*. All expenditure must be in line with the
University Financial Regulations:www2.warwick.ac.uk/services/humanresources/payroll/expenses
*Accommodation costs should not be included in the itemised costs below as Visiting Teaching
Fellows based at Warwick will normally be housed in appropriate, on-campus residential
accommodation whilst visitors to Monash will receive a standard sum for their accommodation costs.
Travel of Visiting Fellow (including flights and
travel within the host country):
Assistance to support event organisation for
the Fellow in the nominator’s department
(note hourly rate and hours):
Composite costs (itemised) of events to be
Event 1:
held, insert additional lines as necessary:
Event 2:
Event 3:
Event 4:
Other (specify and itemise)
Total cost of activities:
Funds to be provided by other departments/
research centres/ organisations
Source:
Amount:
TOTAL REQUESTED FROM WIHEA:
APPROVALS – declaration of support from Head of Department
I support this bid. I agree that any overspend will be covered by my department. I agree to provide
necessary facilities. I confirm that the project will not entail a significant increase in use of any
University services and that any additional requirements will be addressed and covered as
appropriate. I confirm that the Principal Applicant is a permanent member of the academic staff of my
department.
Name:
Department:
Signature:
Date:
Applications can be submitted electronically to WIHEA@warwick.ac.uk or sent via the internal mail to the
Warwick International Higher Education Academy, University House.
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