Outside Study Programme (OSP) Application Form
Instructions for Completing the Outside Study Programme Application Form
When to use this form
This form is to be completed by staff applying for Outside Study Programme (OSP) in accordance with
the Staff Development Procedure: Outside Study Programme.
How to complete this form
Part 1 - staff application details are to be completed by the staff member.
Part 2 – travel grant application details are to be completed by the staff member.
Part 3 – details of other methods of covering costs are to be completed by the staff member.
Part 4 - is to be completed by the head of unit.
Policy references
Prior to completing this form, please ensure you are familiar with the university’s
Staff Development Procedure: Outside Study Programme.
Assistance and where and when to send this form
The original form is to be completed, signed and forwarded with relevant attachments to your HR
Business Partner by the OSP round closing date.
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Outside Study Programme (OSP) Application Form
Part 1: Staff Application Details
Staff Details
Staff Number:
Title:
Family Name:
Given Names:
School/Department/Centre:
Faculty/Division:
Campus:
Email address:
Contact telephone numbers:
Mobile:
Work:
Current Position Details
Position title:
Academic classification/level:
Supervisor Name:
Work Fraction (FTE):
Dates of last period of OSP taken (if
applicable):
(Please attach previous OSP report)
Additional Information
Yes
Does your application include relevant personal circumstances?
No
Planned Period of OSP
Please select the preferred date range
NOTE: Periods outside standard date ranges below will require special justification.
Semester 1
Semester 2
Full Year
Non-standard
OSP will be:
First working day of the year to 30 June
1 July to final working day in December
Year:
Dates:
Domestic
International
Year:
Year:
Both Domestic and
International
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Proposed Leave Dates
Please indicate proposed leave dates. Individual staff members are responsible for managing their own annual
leave balance (refer 5.1 of the Staff Development Procedure – Outside Study Programme). If you have an excess
of long service leave or annual leave you are encouraged to consider incorporating it in your plans. Please add
cells to the table below if required.
Note that if your application is successful and approved by the OSP Committee:
 the table below will be utilised by Monash HR to process your leave.
Leave Type
OSP leave (domestic):
OSP leave (international):
Long service leave:
Annual leave:
From: (dd/mm/yy)
To: (dd/mm/yy)
Payment in Advance
With 4 weeks' notice, a staff member will be entitled to advance payment for periods of specified paid
leave in excess of ten days as follows: Annual leave, long service leave or Outside Study Programme
leave - up to 12 weeks' advance payment
Do you require payment in advance?
Yes
Achievement Relative to Opportunity
You are encouraged to ensure that your application for OSP clearly specifies any relevant personal circumstances to
enable an assessment of your achievements relative to opportunity.
a) Please indicate which relevant personal circumstances apply:
Family responsibilities (eg. child rearing, elder care, illness of a partner/dependant)
A temporary or permanent disability
Periods of part-time work
Relevant cultural expectations or circumstances
Absences due to ill-health or injury
Other (please specify)
b) Please outline your achievements in the context of the relevant personal circumstance/s and the
opportunities available to you:
Achievements Since Last OSP (or Last 3 Years)
(max. 600 words)
Please provide a brief statement detailing your achievements and outcomes since your last OSP/last 3 years (or a
condensed version of your CV over the last 3 years).
OSP Proposal
(max. 200 words)
Please provide a brief statement outlining the purpose of your OSP, a summary of your proposed OSP project/s
and expected impact.
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Academic Performance Standards
(max. 200 words)
Are you currently meeting the minimum academic performance standards for your
discipline?
Yes
No
Please indicate, with reference to the relevant faculty and University academic performance standards, how the
proposed Programme will enable you to achieve or exceed the aspirational standards for your current level.
Projected Outcomes
Using the table below list in a short and detailed manner what you hope to achieve as a result of your OSP period.
Category one publications, completion of PhD, manuscripts, field research, interviews, archival research and
teaching unit creation are all examples of outcomes. It is advised to keep your responses succinct and only promise
what is achievable within the timeframe of your OSP.
Location
(of proposed
activity)
Date
(dd/mm/yy)
Activities
(what do you expect to do)
Expected Outcomes During
Period of OSP
(what benefit is derived or do you
expect to produce)
1
2
3
4
5
6
7
8
Please specify current HDR students
Student
Start Date
End Date
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Part 2: OSP Travel Grant Application
Are you applying for an OSP travel grant?
If no, proceed to Part 3.
Yes
Location (Rationale for Travel)
No
(max. 200 words)
Please provide your rationale for the travel grant.
Travel Allowances
The travel grant is a faculty contribution towards a research trip and applicants will need to supplement the
remainder of costs through other means, or reduce their research aims accordingly to work within their means.
Note: The maximum grant amount available for Domestic OSP (including New Zealand) is $2,500 and for
international $5,500.
Please list the travel amounts you wish to apply for:
Destination (list arrival and departure
airports)
Standard Airfare
Amount $
Accommodation
Supplement Amount $
Total (airfare +
accommodation, max.
$2,500 domestic/NZ or
$5,500):
$
Part 3: Other Methods of Covering Costs
You are required to complete each section below to indicate any other identified sources of covering costs of the OSP.
Additional Income while on OSP
Please itemise additional income to be provided to you by your school/department/centre to
support travel to conferences while on OSP.
Paid Outside Work
Please provide information on any proposed paid outside work during your OSP
(eg. visiting appointments).
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Staff member sign-off
I have attached a copy of my previous OSP report and assessment
I have read and understood the Staff Development Procedure – Outside
Study Programme
I have familiarised myself with the International Staffing and Mobility
Procedure – Staff International Travel for Australian Campuses and the
International Staffing and Mobility Procedure – Domestic Travel, as appropriate
Yes
N/A
Yes
Yes
Yes
I have included all projected costs
I included my proposed OSP into my Performance Development Online
(PDO) Plan
I have attached copies of the last 2 years of Performance Development
Online (PDO) plans
Yes
Yes
Privacy Collection Statement & Declarations
Please view the Monash HR privacy collection statement.
I consent to the information contained within this application be used and disclosed as outlined in the Staff Development Procedure –
Outside Study Programme.
I understand that the whole or part of any salary and any grants paid in relation to OSP may be required to be repaid to the
University should I not comply with the provisions of the OSP procedure or fail to return to employment with the University for a
period at least equivalent to the period of the OSP.
Signature:
Date:
Performance supervisor sign-off
Signature:
Date:
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Part 4: Head of Unit Recommendation
Please include comments below, expanding the boxes.
Recommendation
Comments on the academic benefit to the staff member and to the University
Comments on the appropriateness of proposed travel and length of absence
Comments on the applicant’s proven and sustained record of productivity and excellence
in research, education, and service or demonstrated potential, with specific reference to
the academic performance standards.
Comments on the identified outcomes of the proposed OSP and achievement likelihood.
Proposed plans to cover the absence
How will the staff member’s teaching and examination commitments be covered? Please
specify courses.
Please specify HDR students supervised and proposed arrangements, including
examinations
How will the staff member’s administrative commitments be covered?
For Berwick/Peninsula based staff only: have you communicated with
any relevant Heads to ensure that commitments are covered?
For Gippsland based staff only: has the Pro Vice-Chancellor & President
(Gippsland) endorsed this application?
Yes
Yes
Recommendation
Please indicate your level of support for this staff member’s application for OSP
Not Supported
1
Strongly Supported
2
3
4
5
Name:
Email and Extension:
Signature:
Date:
/
/
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