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Feb 20, 2013 (4 years and 8 months ago)

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Reserved for the
Executive Agency

Number

Date of Postmark





EU
-
US

ATLANTIS
PROGRAMME

COOPERATION

IN HIGHER EDUCATION AND TRAINING


Application Form

2011


TRANSATLANTIC DEGREE
CONSORTIUM
PROJECT

EXCELLENCE

IN

MOBILITY PROJECT




Project Action:

(TD or E
I
M)


Project Title:


Acronym:

(max 10 characters)


EU Lead Institution:


EU Member State:


US Lead Institution:




CLOSING DATE FOR SUBMISSION:
07
.
0
4
.
2011

Applications
sent by post bearing a postmark after this date will not be considered.




A
pplications must be submitted both


to the

EU
,

to EACEA (using this form)

and

to the U.S.A., to FIPSE (using the American application form)







EUROPEAN UNION



U.S.

Department of Education

TD/EIM
-

SELECTION 2011
-

CALL 36/2010


nov 2010


2
/
36


Application and selection procedure

Before completing the form, please read the
Programme Guide and the notice of the Call for prop
o
sals

2010
,

which contain


information

on specific priorities for this year. This information can also be found on the EU
-
US

website:

http://eacea.ec.europa.eu/extcoop/usa/index_en.htm






The form must be completed in one of the
2
3

official languages of the European Union. However, bear in
mind that all partners
have to be able to endorse the common proposal.



The application must be typewritten or word
-
processed using a computer.



The original of the application must bear the
original signature of the person legally authorised to sign

on behalf of
the
applicant
institution and the
original stamp of this institution
.



The signed original and 2 copies thereof must be sent in the same envelope.



An electronic copy of the completed EU application form is being sent before the closing date t
o the call’s official mailbox
(
EACEA
-
EU
-
US@ec.europa.eu
).



All questions have been answered and all pages have been numbered



All applications will be acknowledged.


In accordance with standard
Executive Agency

practice, the information provided in your application may be used for the purposes of
evaluating the EU/
US

programme. The relevant data protection regulations will be respected.

Applications will be judged against the
eligibility and quality criteria set

out in the
Call notice and the Programme Guide
.


TD/EIM
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SELECTION 2011
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CALL 36/2010


nov 2010


3
/
36


1. TITLE PAGE


P
ROJECT ACTION
(
Tick the appropriate box
)
:


† †
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Project title

Please use a maximum of 12 words









Acronym


Give a short title to your project , max 10 characters








Project abstract (maximum 5 lines)

Describe activities and outcomes and including the number of
mobile students in the project















Thematic fields covered by the project

Please use the codes indicated in Annex
I
.

There can be more tha
n one field.












TD/EIM
-

SELECTION 2011
-

CALL 36/2010


nov 2010


2. TABLE OF CONTENTS

Develop a table of contents for the proposal package with pagination.
TD/EIM
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SELECTION 2011
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CALL 36/2010


nov 2010


5
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36


3
. PARTNER IDENTIFICA
TION FORMS


3
.1.

EU LEAD INSTITUTION
:

(signatory of contract)


To fill in this part,
please use the type of institution codes indicated in Annex

I
.

Please complete the appropriate form to show the legal status of the EU Lead institution ( annex IV)
. Specific forms by type of status
can be found on the same web
-
address with the application
forms.



3
.1
.1
Legal Representative


Full legal name of the institution in the national language


Acronym of the institution, if applicable


Full name of the Institution in English (formal or informal
translation)


Type of institution code


Erasmus ID
code, for Higher
Education Institutions only, If
applicable


Internet
Homepage


Legal representative

of the institution
,


who is authorised to sign the agreement
:


Last name
,
First name


Title (optional)

(e.g. Prof., Dr, etc.)


Department/Unit


Official function within the institution


Sex



F (female)


M (Male)

Legal address of the institution

Street & Street Number

Post code & town

Country


Phone (including country and area code)

+





/





/






Fax (including country and area code)

+





/





/






E
-
mail




3
.
1.
2
Coordinator

(responsible for EU Institutions’ co
-
ordination)


The address provided will be used for the acknowledgement of receipt and all further correspondence relating to the project
.


Coordinator
:

Last name
,
First name


Title (optional)

(e.g. Prof.,

Dr, etc.)


Department/Unit


Official function within the institution


Sex


F (female)


M (Male)

Complete Correspondence

address

Street

Post code & town

Country & region


Phone (including country and area codes)

+





/





/






Fax (including country and area codes)

+





/





/






E
-
mail address




TD/EIM
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SELECTION 2011
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CALL 36/2010


nov 2010


6
/
36

3
.
1.
3 Person in charge of finance



Last name
,
First name


Title(optional)

(e.g. Prof., Dr,
e
tc.)


Department/Unit


Official function within the institution


Sex


F (female)


M (Male)

Correspondence

address

Street

Post code & town

Country & region


Phone (including country and area codes)

+





/





/






Fax (including country and area codes)

+





/





/






E
-
mail address


@



3
.1.4

Experience in educational exchange cooperation


in bilateral/international projects

?

Please, list the projects in which you
/
your
organisation

have been involved

during the past three years.


Name of organisation

Town, country

Year of
cooperation

Project title



























TD/EIM
-

SELECTION 2011
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nov 2010


7
/
36


3
.2.

EU PARTNER INSTITUTIONS


For EU partners, please use the type of institution codes
indicated in Annex

I
.


Check the minimum number of partners required (see
Guidelines for Applicants)
.


Add copies for additional partners if necessary.




Partner Nr 2


Full legal name of the institution in the national language


Acronym of the institution
, if applicable


Full name of the Institution


Department/Unit


Type of institution


Country code


Contact person

Last name
,
First name

Function:
…………….
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Homepage





Experience in educational exchange cooperation


in bilateral/international projects

?

Please, list the projects in which you
/
your organisation

have been involved

during the past three years.


Name of organisation

Town, country

Year of
cooperation

Project title






















TD/EIM
-

SELECTION 2011
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CALL 36/2010


nov 2010


8
/
36



Partner Nr 3

(If applicable)



Full legal name of the institution in the national language


Acronym of the institution, if applicable


Full name of the Institution


Department/Unit


Type of institution


Country code


Contact person

Last name
,
First name

Function:
……………
………………………………………………………
Male (M)



Female (F
)



Legal address of the institution

Street & Street Number

Post code & town

Country


Phone (including country and area code)

+





/





/






Fax

+





/





/






E
-
mail


Homepage




Experience in educational exchange cooperation


in bilateral/international projects

?

Please, list the projects in which you
/
your organisation

have been involved

during the past three years.


Name of organisation

Town, country

Year of
cooperation

Project
title
























Other relevant EU organisations


Please indicate all other relevant EU organisations such as enterprises, trade unions, industry and business groups, non
-
governmental
organisations, publishers, government departments, chambers of commerce and research institutes, which may, whilst not off
icial
consortia partners,
for example, provide internships, offer professional advice and expertise, and help your project attain the national
and international visibility necessary for it to succeed beyond the funding period.



Name of organisation

Town,
country

Contact person

Role, task






















Add additional lines if necessary
.


TD/EIM
-

SELECTION 2011
-

CALL 36/2010


nov 2010


9
/
36

3
.3.

US INSTITUTIONS
:


3
.3.1.

US

LEAD INSTITUTION



Authorising official


Full legal name of the institution in the national language


Acronym of the
institution, if applicable


Type of institution


Institutional homepage


Authorising official of the institution
:


Last name
,
First name



Department/Office


Title


Legal address of the institution

Number & Street

City/Province/ Zip code


Phone
(including area code)

+





/





/






Fax (including area code)

+





/





/






E
-
mail







Project
coordinator


The address provided will be used for the acknowledgement of receipt and all further correspondence relating to the project .


Project coordinator
:


Last name

,
First name



Department/Office


Title (optional)

(e.g. Prof., Dr, etc.)


Correspondence

address

Number & Street

City/Province/ Zip code


Phone (including area code)

+





/





/






Fax (including area code)

+





/





/






E
-
mail address




Experience in educational exchange cooperation


in bilateral/international projects

?

Please, list the projects in which you
/
your organisation

have been involved

during the past three years.


Name of organisation

Town, country

Year of
cooperation

Project title

















TD/EIM
-

SELECTION 2011
-

CALL 36/2010


nov 2010


10
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36


3
.3.2.

US

PARTNER INSTITUTIONS

(
if applica
b
le)




Partner Nr 2



Contact person

Last name
,
First name

Function:
……………
………………………………………………………
jale=EjF



Female (F
)

=
=
cull=legal=name=of=the=institution
=

Acronym of the institution, if applicable


Department/Office


Type of institution


Legal address of the institution

Number & Street

City/Province/Zip code


Phone (including area code)

+





/





/






Fax
(including area code)

+





/





/






E
-
mail


Homepage







Partner Nr 3

(If applicable)



Contact person

Last name
,
First name

Function:
……………
………………………………………………………
jale=EjF



Female (F
)

=
=
cull=legal=name=of=the=institution
=

Acronym of the institution, if applicable


Department/Office


Type of institution


Legal address of the institution

Number & Street

City/Province/Zip code


Phone (including area code)

+





/





/






Fax
(including area code)

+





/





/






E
-
mail


Homepage



Experience in educational exchange cooperation


in bilateral/international projects

?

Please, list the
projects in which you
/
your organisation

have been involved

during the past three years.


Name of organisation

Town, country

Year of
cooperation

Project title























Please provide same information for additional partners

TD/EIM
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SELECTION 2011
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CALL 36/2010


nov 2010


11
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36

Other relevant US organisations


Please indicate all other relevant
American

organisations such as enterprises, trade unions, industry and business groups, non
-
governmental organisations, publishers, government departments, chambers of commerce and researc
h institutes, which may, whilst
not official consortia partners,
for example, provide internships, offer professional advice and expertise, and help your project attain the
national and international visibility necessary for it to succeed beyond the fundin
g period.




Name of organisation

Town, country

Contact person

Role, task






















Add additional lines if necessary
.

TD/EIM
-

SELECTION 2011
-

CALL 36/2010


nov 2010


12
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36


4
. ONE PAGE SUMMARY


This summary should outline the key features of the project including the total number of students from each institution bein
g
exchanged over the duration of the project.
Please identify clearly the following aspects of the project
:


1.

Title of project

2.

Dura
tion of the project (start and end date)

3.

Field(s)

level(s)

and

objectives of the study/training, duration, language(s) of instruction

4.

Summary of
joint study
programme and project activities

5.

For TD projects, precise degree(s) awarded by which institutions
(name of the degree(s) and duration of the
study programme)

6.

List of EU and
US

consortium institutions or organisations

7.

For EIM projects, n
umber of EU and
US

students

and the length of their study abroad

8.

For TD projects, number of EU and US students that w
ill obtain the joint/double degree and
length of study
abroad

9.

If applicable, n
umber of faculty exchanges for programme teaching and length of stay

10.

Other


If your application is successful, this summary may be used in information purposes. You are therefor
e kindly requested to formulate it
very carefully.









TD/EIM
-

SELECTION 2011
-

CALL 36/2010


nov 2010


13
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36

5
. PROPOSAL NARRATIVE

Proposal Narrative

-

In no more than

6000 words

(= ± 10 pages/font:12/single spaced)
,

you should address

each of
the following points

separately
:


1. The objectives of
the

project

and its potential contribution to educational excellence and innovation.


2. The project’s outcomes for improving teaching and student achievement.


3. The added value for the proposed discipline and profession and the proposed
mobility proje
ct and/or
transatlantic degree compared
with courses and programs that may already exist in the same field at national and international levels.


4. The
detailed structure and content of the
joint study program and
/or mobility programme and
how it is integ
rated among the
consortia institutions
, including:


a) For EIM projects, its work placement and internship elements, if any;


b) For TD projects, the role of each institution and which part of the programme is delievered by which institution;


5. The comm
itment and formal administrative arrangements for the delivery of the degree as evidenced by letters from the highest
administrative and academic levels at the partner institutions.


6. The arrangement for academic credits, including, if applicable, the e
xtent to which ECTS mechanisms such as the grading scale
and other mechanisms for study periods compatible with ECTS will be used.


7.

T
he
use of the
Diploma Supplement and the plan to improve international transparency in order to facilitate academic
and
professional recognition of qualifications and accreditation.


8.

The cooperative mechanisms and administrative structure for institutionalization, meetings, roles for partners, and communica
tions.


9.

The arrangements for tuition and fees.


10.
The

consortium structure and mechanisms for student and faculty mobility between hosting institutions.

Describe how many
students you intend to send and receive and for how long
the

period of study

will be


11.
The language plan, particularly, the use of tra
ining facilities, mentors and tutors, and local language resources.


12. The resources available and the arrangements for hosting foreign students and faculty, particularly, the availability of

an office and
persons dedicated to linguistic assistance, hou
sing, coaching, visas and insurance, and activities for social integration.


13.
T
he evaluation plan, including formative and summative evaluations, feedback mechanisms, and assessments by independent
entities.


14. The plans for promoting and
disseminating the results of the project

as well as ensuring its sustainability after the end of the
Atlantis funding
.
Indicate in particular, for TD projects, any aspect of the Course which offers examples of best practice and how
far the Course has a di
stinctive European added value.


15.

For TD projects,
t
he guarantee that the proposed degrees awarded by the institutions in the EU and the U.S. will be recognized
and accredited by Member States and relevant U.S. agencies.



16
. For TD projects,
t
he share
d arrangements
and conditions
for student selection and admission to the Transatlantic Degree
.



TD/EIM
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SELECTION 2011
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nov 2010


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36

This is to certify that this proposal narrative is identical to that submitted to
FIPSE


Name, Function & Signature of

the EU Project
Leader/Coordinator

Name, Function &

Signature of

the US Project
Leader/
Coordinator


NAME

(please write in capital letters)
:









FUNCTION


(please write in capital letters)
:









SIGNATURE






NAME

(please write in capital letters)
:









FUNCTION


(please write in capital letters)
:









SIGNATURE



Date

Date





TD/EIM
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nov 2010


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6. PERSONNEL INFORMA
TION

You should clearly outline the qualifications of all key personnel related to the project. You can include in an appendix bri
ef bios (one
page), highlighting relevant skills and experience of the personnel. If you include resumes instead of the bios, stri
ctly limit each to two
pages.

TD/EIM
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nov 2010


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7. BUDGET


Duration and languages


Activities are planned to start 1/10/2011 and to end by 30/9/2015.


The duration

of
the

consorti
um

project is
48
months.






L
anguage in which you would like the grant contract to be
issued

1st preference


DE

EN

FR


2nd preference


DE

EN

FR

L
anguage in which you would like correspondence with the
Executive Agency

to be conducted

(to facilitate cooperation with your partners, you are advised to enter the language most commonly
used for communication within the partnership)

1st preference


DE

EN

FR

2nd preference


DE

EN

FR





Financial support from
USA
/European
Union

:
Has
/Is
the proposal, or any aspect thereof or any larger project / network to which it may
belong


A.

already been supported in the past by
the US
or the European
Union
?





No



Yes.
Please specify the programme, date, type of activity (e.g.
preparatory visit) and, if possible, contract number(s):





B.



currently being supported under any other

American

or European
Union
programme?




No



Yes.
Please specify the programme, date, type of activity (e.g. preparatory visit) and, if possible, contract
numb
ers:





C.

currently the subject of any other application for support
from the

US or

the European
Union
?




No



Yes.
Please specify the programme(s) and provide details under section 2 Table 2.






TD/EIM
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SELECTION 2011
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CALL 36/2010


nov 2010


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General instructions



Before completing this section, please read carefully the “Explanatory note on Budget” in Annex 2.



The maximum amounts of the grants are 180.000 € for EIM projects and 428.000 € for TD projects.



The budget should cover the entire period of the grant.



The

budget should be coherent with the work plan.



All amounts should be provided in Euros.



Please adhere strictly to the format provided in the tables, and check carefully the figures
provided

(
applications containing
calculation errors will be penalised in
the selection process).



For further intormation please check table on point 9 of the Programme Guide.



Table 1


TOTAL EU GRANT REQUESTED


Categories of funding

Total in EUR

1.

Flat
-
rate sum for administrative costs


2
..

Transatlantic student mobility grants


3.

Transatlantic faculty mobility grants


TOTAL

(identical to the total in Table 2)





Please attach copy of the financial request made to
FIPSE

by the

US

lead partner.


TD/EIM
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36

Table

2

a


Distribution of funding requested amongst

participating
EU
institution
s


The reference numbers (Nr 1, 2, 3, etc.) of the participating institutions must correspond to those used in section
5
.


All amounts in Euros

Funding requested by

the participating

EU
institution

Total

(equals amount
in table
1
)

Coordinating
institution =

Participating
institution Nr

1

Participating
institution Nr

2

Participating
institution Nr

3

(if applicable)

1.
Flat
-
rate sum for administrative costs






2 Transatlantic
student mobility grants





3. Transatlantic faculty mobility grants





TOTAL









Table
2

b


Explanation for allocation of EU grant per participating institution


On what basis do you intend to distribute the EU grant among the participating
institutions?






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36


Mobility scholarships


Table

3
:

Details of transatlantic student mobility grant
s



Sending EU Institution

Number
of
students in
transatlantic
mobility

(a)


L
ength of stay

in months


(b)


Mobility Grant


= (a x 1000 € x b)
=
(c)


Travel
contribution

=
(a

x

1000 €)
=
(d)


Total student
mobility grant


(c+d)

1.






2.






3.






4.






5.








Subtotal












Total table
3

(subtotal c + subtotal d)

to be identical to
line 2 in Table 1



Table
4
:

Details of transatlantic faculty mobility grants


Sending EU Institution

Number of
faculty
in transatlantic
mobility

(a)

Average

l
ength
of stay

in weeks

(b)

Mobility Grant


= (a
x 1000 € x b)

(c)

Travel
contribution

=
(a

x

1000 €)

(d)

Total faculty
mobility grant


(c+d)

1.






2.






3.






4.






5.








Subtotal












Total table 4 (subtotal c + subtotal d)

to be identical to
line 3 in Table 1



Table
5
:
Details of TD projects' intra
-
EU student mobility

(not financed by this grant)


Sending
/
receiving
EU
Institution


Receiving EU
institution

Number of students /
learners in
intra
-
EU

mobility

(a)

Total length of stay

in
months

for all
students

(b)

Scholarship



(c)

Travel contribution



(d)

1.






2.






3.






4.









Subtotal










Total 1 (subtotal c + subtotal d)



Table
6
:
Other comments on budget (
other sources on funding etc..)




TD/EIM
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8
. WORK PLAN

Follow the work plan table below, where appropriate.



Project:





Component of project

(if applicable for each topic)

Outputs to be achieved/produced
by the end of the implementation
of this component

Activities leading to this output

Activity to be
started by this date
and completed by this date

Partners involved

1.

Partnership cooperation
agreements (Memorandum of
Understanding)





2.

Development of
an
innovative
transatlantic
curricul
um





3.

Arrangements for academic credits

and accreditation






4.

Development of organisational
frameworks for student mobility





5.

Development of language,

cultural
preparation and assessment







6.

D
evelopment of a strong
dissemination

plan





7.

Joint development of a strong
project evaluation plan







8.

S
tructured exchanges and teaching
assignments
for teachers, trainers,
administrators and other relevant
specialists







9.

J
oint development and
dissemination of web
-
based and
computer
-
based technologies





10.

Other (specify)







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9
.1
.

TOTAL
STUDENT MOBILITY

I.

EU

SENDING
/

US

HOSTING TABLE
: indicate the name of the institutions as well as the number of students from EU institutions planned to be sent to
US

institutions in the corresponding box


add

additional columns or rows if necessary




Sending lead EU institution:






*

Sending EU partner institution

2:






*

Sending EU partner institution

3:






*

Sending EU partner institution 4:






*

TOTAL

W
ITH
G
RANT

without Grant

W
ITH
G
RANT

without Grant

W
ITH
G
RANT

without
Grant

W
ITH
G
RANT

without Grant


Hosting lead
US

Institution:






*















Hosting
US

partner

institution

2:






*















Hosting

US

partner

institution

3:






*















Hosting US partner institution 4:







*















TOTAL



















































II.

US

SENDING
/EU

HOSTING TABLE
: indicate the name of the institutions as well as the number of students from
US

institutions planned to be sent to EU institutions in the corresponding box.

US

sending/EU hosting table: indicate the name of the institutions as well as the number of stude
nts from
US

institutions planned to be sent to EU institutions in the corresponding box.




Sending lead
U
S

i
nstitution:






*

Sending

U
S

partner institution

2:






*

Sending U
S

partner institution

3:






*

Sending
U
S

partner institution 4:






*

TOTAL


With Grant

With Grant

With Grant

With Grant


Hosting lead

EU

Institution:






*











Hosting
EU

partner

institution

2:






*











Hosting

EU

partner

institution

3:






*











Hosting EU partner institution 4:







*











TOTAL

















































*
Please indicate the name


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9
.2
.
FACULTY

MOBILITY

EU sending
/US

hosting table: indicate the name of the institutions as well as the number of
faculty members

from EU institutions planned to be sent to
the US

institutions in the corresponding box

(ad additional
columns or rows if necessary)
.




Sending lead EU
i
nstitution:







Sending
EU partner institution

2:







Sending EU partner institution

3:







Sending EU partner institution 4:







Hosting lead
US partner
Institution:











Hosting
US

partner institution

2:











Hosting
US

partner institution

3:











Hosting US partner institution 4:












US

sending/EU hosting table: indicate the name of the institutions as well as the number of
faculty members

from
the
US

institutions planned to be sent to EU institutions in the corresponding box.




Sending lead
US

i
nstitution:







Sending
US
partner
i
nstitution

2:







Sending
US

partner
institution 3







Sending US partner institution 4:







Hosting lead EU Institution:











Hosting EU partner institution

2:











Hosting EU partner institution

3:











Hosting EU partner institution 4:













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10. LETTERS OF ENDOR
SEMENT

Letters of endorsement,




Must

be

signed by
the
legal representatives
of
each institution: senior academic or executive officers competent
to commit the institution on legal and financial matters (e.g., rector, vice
-
chancellor, provost, dean, director, or
president) of each of the European and
US

institutions.




S
hould indicate

how the project fits within the international strategy of the institution or organisation and how this
project will complement that strategy.




Must

indicate a commitment to
implement a double/joint degree programme (or an Excellence in Mobility project)

and
conclude a

Memorandum of Understanding (MoU) signed by all institutions
(
agreement on credit
recognition and/or transfer between institutions and fees and tuition waivers

before students mobility
begins.




Must

also contain a confirmation that the inst
itution is willing to provide financial support to the project and the
amount proposed.




Other major parties involved in the consortium should also indicate in writing their commitment to this project.


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11.


LEGAL

&


FINANCIAL
STATUS DOCUMENTATION

All a
pplicants
(EU lead organisations)
must prove their legal status by completing the appropriate form

and submitting the necessary
supporting documentation.
Specific
forms by country
and language
can be found at the
following
web
site:




Legal entity:
http://ec.europa.eu/budget/execution/legal_entities_en.htm




Financial identification:
http://ec.europa.eu/budget/execution
/ftiers_en.htm




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12.
DECLARATION


T
O BE COMPLETED BY TH
E
PERSON LEGALLY AUTHO
RISED TO SIGN

ON BEHALF OF THE REQ
UESTING
/

CONTRACTING INSTITUT
ION
.



I, the undersigned, certify that
all

information contained in this application, including project descriptio
n,

is correct to the best of my
knowledge and am aware of the content of the annexes to the application form.

I confirm that my institution has the financial and operational capacity
to complete the proposed project.

I take note that under the provisions of the Financial Regulation applicable to the general budget of the European
Union
1
, grants
may not be awarded to applicants who are in any of the following situations:

(a) if they are

bankrupt or being wound up, are having their affairs administered by the courts, have entered into an
arrangement with creditors, have suspended business activities, are the subject of proceedings concerning those matters, or
are in any analogous situatio
n arising from a similar procedure provided for in national legislation or regulations;

(b) if they have been convicted of an offence concerning their professional conduct by a judgment which has the force of res
judicata;

(c) if they have been guilty of g
rave professional misconduct proven by any means which the contracting authority can justify;

(d) if they have not fulfilled obligations relating to the payment of social security contributions or the payment of taxes i
n
accordance with the legal provision
s of the country in which they are established or with those of the country of the contracting
authority or those of the country where the contract is to be performed;

(e) if they have been the subject of a judgment which has the force of res judicata for
fraud, corruption, involvement in a
criminal organisation or any other illegal activity detrimental to the
Union
'
s

financial interests;

(f) if following another procurement procedure or grant award procedure financed by the
Union

budget, they have been
dec
lared to be in serious breach of contract for failure to comply with their contractual obligations.

(g) if, in their grant application, they are subject to a conflict of interest;

(h) if, in their grant application, they are guilty of misrepresentation in
supplying the information required by the contracting
authority as a condition of participation in the grant award procedure or fail to supply this information.

I confirm that neither I nor the institution for which I am acting as legal representative are

in any of the situations described above,
and am aware that the penalties set out in the Financial Regulation may be applied in the case of a false declaration.

In the event that my grant application is successful, I authorise the Commission
/ the Agency

t
o publish on its internet site or in any
other appropriate medium:



The name and address of the beneficiary of the grant;



The subject of the grant;



The amount awarded and the rate of funding of the costs of the approved work programme.



Place:






Date



/



/





(day/month/year)



Signature

Stamp of the applicant / contracting institution



Name and position in capitals







1

Council Regulation No 1605/2002 (OJ L248 of 16/09/2002) and Commission Regulation No 2342/2002 (OJ L357 of 31/12/2002
). These can be consulted in the
Official Journal online at :
http://eur
-
lex.europa.eu/JOIndex.do?year=2002&serie=L&textfield2=248&Submit=Search&_submit=Search&ihmlang=en


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13. CHECKLIST

FOR ELIGIBILITY



Only proposals which comply with the following criteria will be subject of an in
-
depth evaluation:


1.

the proposal is submitted latest by the specified closing date;


2.

the correct application form has been used


3.

the application form bears an original signature of the Legal representative of the EU applicant organisation

( see application form:Declaration section)


4.

the Common Proposal narrative (point
5
) is signed by both the EU and the US project co
-
ordinators (scanned or
faxed signatures are accepted);


5.

the proposal includes the signed letters of endorsement from all partner institutions (scanned or faxed versions
are accepted );


6.

the applicant is a legal person ( see Application form: Legal Entity form

/Chapter 4.1 of the Programme Guide
)


7.

the
composition of the consortium corresponds to the requirements as explained in the call notice and
Programme Guide


8.

the proposal has been submitted both to the Agency in Europe and

to FIPSE in the USA;


9.

the Application includes a budget in euros with a request for financial contribution from the European Union.





Additionally please notice:


Only proposals submitted using the official application form, completed in full, signed (original signatures required) and
sent by the specified deadline, will be considered.

The application form must be accompanied by an official letter from the applicant organisation, attesting to its financial
(if
private organisations)
and operational capacity (for further information see section 10), and all the other documents
referred to

in the application form.

An electronic copy of the completed EU application form is being sent before the closing date to the call’s official mailbox
(
EACEA
-
EU
-
US@ec.europa.eu
).



Pag
es are numbered and index is inserted (Table of content
-

point 2)

29




ANNEXES



ANNEX I a
.

Codes
for thematic fields

ANNEX I
b
.

Type of institution codes
, country codes, language codes

ANNEX II


Explanatory
notes on the budget


Selection

2009

ANNEX III

Financial identification

form ( website address)

ANNEX IV

Legal status form

(website address)


ANNEX


I
a
.

Codes for thematic fields, t
ype
s

of institution

and countries


Thematic fields


1

AGRICULTURAL SCIENCES


01.0

Agricultural sciences

01.1

Agriculture

01.2

Agricultural Economics

01.3

Food Science and Technology

01.4

Horticulture

01.5

Fisheries

01.6

Forestry

01.7

Animal Husbandry

01.8

Tropical/Subtropical Agriculture

01.9

Others


Agricultural Sciences
(specify in free text

area)


02

ARCHITE
CTURE, URBAN AND REGIONAL PLANNING


02.0

Architecture, Urban and Regional Planning

02.1

Architecture

02.2

Interior Design

02.3

Urban Planning

02.4

Regional Planning

02.5

Landscape Architecture

02.6

Transport and Traffic Studies

02.9

Others


Architecture,
Urban and Regional Planning


(specify in free text area)


03

ART AND DESIGN


03.0

Art and Design

03.1

Fine Art (Painting, Sculpture, Printmaking)

03.2

Music and Musicology

03.3

Performing Arts

03.4

Photography, Cinematography

03.5

Design (Graphic Design, I
ndustrial Design, Fashion, Textile)

03.6

History of Art

03.9

Others


Art and Design
(specify in free text area)


04

BUSINESS STUDIES AND MANAGEMENT SCIENCES


04.0

Business Studies, Management Science

04.1

Business Studies with languages

04.2

Business Stud
ies with technology

04.3

Accountancy, Financial Management

04.4

Tourism, Catering, Hotel Management

04.5

Industrial Relations and Personnel Management

04.6

Secretarial Studies

04.7

Marketing and Sales Management

04.9

Others


Business Studies, Management Science

(specify in free text area)


05

EDUCATION, TEACHER TRAINING


05.0

Education, Teacher Training

05.1

Teacher Training

05.2

Primary Education

05.3

Secondary Education

05.4

Vocational and Technical Education

05.5

Adult Education

05.6

Special Education

05.7

Educational Science, Comparative Education

05.8

Educational Psychology

05.9

Others


Education, Teacher Training
(specify in

free text area)

30

06

ENGINEERING, TECHNOLOGY


06.0

Engineering, Technology

06.1

Mechanic
al Engineering

06.2

Electrical Engineering

06.3

Chemical Engineering

06.4

Civil Engineering

06.5

Electronic Engineering, Telecommunications

06.6

Manufacturing Sciences (including CAD, CAM, CAE)

06.7

Materials Science

06.8

Aeronautical Engineering

06.9

Others


Engineering, Technology
(specify in free

text area)


07

GEOGRAPHY, GEOLOGY


07.0

Geography, Geology

07.1

Geography

07.2

Environmental Sciences, Ecology

07.3

Geology

07.4

Soil and Water Sciences

07.6

Geodesy, Cartography, Remote Sensing

07.7

Meteorology

07.9

Others


Geography, Geology
(specify in free text

area)


08

HUMANITIES


08.0

Humanities

08.1

Philosophy

08.2

Theology

08.3

History

08.4

Archaeology

08.9

Others


Humanities
(specify in free text area)


09

LANGUAGES AND PHILOLOGICAL SCIENC
ES


09.0

Languages and Philological Sciences

09.1

Modern EC Languages

09.2

General and comparative literature

09.3

Linguistics

09.4

Translation, Interpretation

09.5

Classical Philology

09.6

Non
-
EC Languages

09.8

Less Widely Taught Languages

09.9

Others


Languages and Philological Sciences

(specify in free text area)


10

LAW


10.0

Law

10.1

Comparative Law, Law with Languages

10.2

International Law

10.3

Civil Law

10.4

Criminal Law, Criminology

10.5

Constitutional /Public Law

10.6

Public
Administration

10.7

European
Union
/EU Law

10.9

Others


Law
(specify in free text area)


11

MATHEMATICS, INFORMATICS


11.0

Mathematics, Informatics

11.1

Mathematics

11.2

Statistics

11.3

Informatics, Computer Science

11.4

Artificial Intelligence

11.5

Actuarial Science

11.9

Others


Mathematics, Informatics
(specify in free

text area)



31

12

MEDICAL SCIENCES


12.0

Medical Sciences

12.1

Medicine

12.2

Psychiatry and Clinical Psychology

12.3

Dentistry

12.4

Veterinary Medicine

12.5

Pharmacy

12.6

Nursing,
Midwifery, Physiotherapy

12.7

Public Health

12.8

Medical Technology

12.9

Others


Medical Sciences
(specify in free text

area)


13

NATURAL SCIENCES


13.0

Natural Sciences

13.1

Biology

13.2

Physics

13.3

Chemistry

13.4

Microbiology, Biotechnology

13.5

Nucle
ar and High Energy Physics

13.6

Biochemistry

13.7

Astronomy, Astrophysics

13.8

Oceanography

13.9

Others


Natural Sciences
(specify in free text area)


14

SOCIAL SCIENCES


14.0

Social Sciences

14.1

Political Science

14.2

Sociology

14.3

Economics

14.4

Psychology and Behavioural Sciences

14.5

Social Work

14.6

International Relations, European Studies, Area Studies

14.7

Anthropology

14.8

Development Studies

14.9

Others


Social Sciences
(specify in free text area)


15

COMMUNICATION AND INFORMATION SCIENCE
S


15.0

Communication and Information Sciences

15.1

Journalism

15.2

Radio/TV Broadcasting

15.3

Public Relations, Publicity, Advertising

15.4

Library Science

15.5

Documentation, Archiving

15.6

Museum Studies, Conservation

15.9

Others


Communication and Information Sciences

(specify in free text area)


16

OTHER AREAS OF STUDY


16.0

Other Areas of Study
(specify in free text area)

16.1

Physical Education, Sport Science

16.2

Leisure Studies

16.3

Home Economics, Nutrition

16.4

Nautical Science, Navigation

16.9

Others in Other Areas of Study
(specify in free text

area)



























32


ANNEX I b
.


Type of institution codes
, country codes, language codes


You will find here the codes you will have to use when filling in
the Section 5 of the application form:



Type of Institution(*)


EDU.4

Higher education institution


EDU.5

Adult or continuing education provider


PME

Small and medium size enterprise (less than 250 workers)


GE

Large enterprise (250 workers and more)


GRE

Group or association of companies


OE

Employer Organisation


OS

Trade Union organisation


OF

Training organisation


CC

Chamber of commerce


OPR

Professional organisation/Federation/Groupings


U

University enterprise training partnership

OQ

Organisations concerned with certification and recognition of qualifications


ASS.1

Non
-
profit association (regional/national)


ASS.2

Non
-
profit association (European / international)


ASS.3

Association of Universities


RES

Research institute


PUB.1

Public authority (local)


PUB.2

Public authority (regional)


PUB.3

Public authority (national)

OTH

Other type of organisation








Country

Language

BE

Belgium

IS

Iceland

DA

Danish

IS

Icelandic

DK

Denmark

LI

Liechtenstein

DE

German

NO

Norwegian

DE

Germany

NO

Norway

EL

Greek

BG

Bulgarian

GR

Greece

BG

Bulgaria

EN

English

CZ

Czech

ES

Spain

CZ

Czech Republic

ES

Spanish

EE

Estonian

FR

France

EE

Estonia

FI

Finnish

LV

Latvian

IE

Ireland

CY

Cyprus

FR

French

LT

Lithuanian

IT

Italy

LV

Latvia

IT

Italian

HU

Hungarian

LU

Luxembourg

LT

Lithuania

NL

Dutch

MT

Maltese

NL

The Netherlands

HU

Hungary

PO

Portuguese

PL

Polish

AT

Austria

MT

Malta

SE

Swedish

RO

Romanian

PT

Portugal

PL

Poland

GA

Irish

SI

Slovene

FI

Finland

RO

Romania

LE

Letzeburgesch

SK

Slovak

SE

Sweden

SI

Slovenia



TR

Turkish

UK

United Kingdom

SK

Slovak Republic










33

ANNEX


II



Explanatory notes on the budget


p敬e捴楯n
㈰2
1



TD

Projects





A.

I
NTRODUCTION


These Notes provide information to applicants concerning the financial procedure related to budget proposal, its approval and

to the
determination of the level of the European
Union

grant. It also provides guidance on how to complete section 7 (Budget) of
the
application forms and related information
on the

rules for eligibility of costs.


The text of the grant agreement can be

downloaded from the websit
e:

http://eacea.ec.europa.eu/extcoop/
usa/index_en.htm

or be requested at the call’s official mailbox

:
EACEA
-
EU
-
US@ec.europa.eu





B.

F
INANCIAL PROCEDURE



1.

Funding request

in the application form


The
funding

proposal must be submitted in
the

structure
laid out in section
7
)
.



2
.

Determination of
EU

assistance


The funding mechanism applied under the
US
Programme
is based on
flat rate
and lump sums
financing.

A
pplicants
can
easily calculate the expected grant amount and facilitate the
realistic planning of the project
.


Flat rate

financing covers specific categories of expenditure by applying a standard scale of unit cost (e.g.
1.00
0


x
week

x
s
tudent
)
.


In addition, f
unding
must respect the following provisions
:



the total amount of funding
shall be
no greater than the amount
requested by the applicant



the total amount of funding
for a 4 year project
may not exceed
a maximum of
408
.00
0



/ 428.000 €
.


This will include
a
n administrative lump sum

of

no more than
15.000

€ per year

per
project with

a total maximum
amount of 60
.000 € for a 4 year project.
For details on transatlantic mobility grants for students and faculty please
refer to the guidelines.

The
Executive Agency

reserves the right to award f
unding

at
a
lower

amount than

that
requested



the grant may not
under any circumstances give rise to
a profit for the beneficiary

or partners



the policy for awarding grants



the available EU budget


The grant agreement specifies the total approved budget for the project

and
the maximum amount of the grant
.
The final
amount of the grant awarded is
determined
by the Executive Agency
after
verifying that the action has been carried out in
accordance with the agreement and
can never exceed the maximum amount
laid
down
in

the

agreement



The EU/
USA

grant

is paid in the form of

-

a pre
-
financing payment of

40
% after signature by both parties

payable within 45 days of the signature of the agreement
by the
Executive Agency
.

-

Further pre
-
financing payments are divided into t
wo

instalments,
respectively

representing
40 and 20
% of the total
amount of the grant stipulated in article I.3.2.
of the agreement.

-

Payment of each further instalment is dependent
up
on the receipt
and approval
of a progress report and statement of
expenditure on the project implementation
and
may not be made until at least 70% of the previous pre
-
financing payment
has been used up [and shall be conditional on the beneficiary producing
, if applicable,

a financial

guarantee equivalent to
the aggregate amount of pre
-
financing].

-

the final amount of funding due will be determined by the submission and approval of a final report and a statement of
expenditure on the project’s implementation


34







C.

R
ULES ON
E
LIGIBILITY


1.

General Principles


The contractor (project coordinator) must ensure that




expenditure is
directly
connected with and necessary for the implementation of the
activities, according to the project
work plan and provided for in the approved
estimated
budget
and has been
generated during the lifetime of the
project as defined in the grant agreement



all costs presented in the proposed Budget are necessary for the performance of the project



no member organisation of the partnership may derive
a profit from financial assistance awarded by the European
Union



each item of expenditure is only included under one heading of the proposed Budget.



2.

Eligible costs



Except for
administrative lump
s
ums
, only costs in respect of mobility grants for students and faculty are eligible under this
application No other cost item will be considered as qualifying as eligble expenditure




D.

P
RINCIPLES APPLIED TO

THE DIFFERENT CATEGO
RIES
OF FUNDING


1

Lump sum

amounts



7.500 € per Institution per year with a maximum amount of 15.000 € per
project
year and a total
over 4 years
of
60.000
/80.000

€ per project



2.

Transatlantic Student mobility grants
including students’ travel costs


Under the EU/
US
Transatlantic

Degree
programme, student mobility
grants

for EU students
are budgeted

at

1.000€ per
month per student

plus a 1000€ for travel (with a maximum of
12
.000

Euros

per
student
)
.

Each student is supposed to spend at least
one full academic year

on the other side of the Atlantic
.


The student stipend money is a block allocation intended to offset additional costs incurred by students travelling abroad
over the costs of remaining at the home institution.

Mobility stipends may not be used to move

EU students within the EU
.



3
Transatlantic Faculty mobility grants.


Under the EU/
USA

Transatlantic Degree
programme,
faculty
mobility stipends are budgeted at
1.000

Euros per
week
per
faculty member
for a minimum period

of 1 week and a maximum of 8 weeks plus a fixed amount of 1.000
Euros for travel
in relation to

programme related scholarly work at the partner US Institutions.


Each successful project will be awarded a maximum of 60.000
/80.000

Euros for faculty travel grants
.


Mobility stipends may not be used to move EU
faculty

within the EU
.


Monthly allowances and travel/relocation
flat rates
must be paid in full to the mobile student/ teaching faculty and administrative
staff.




35









ANNEX


II



Explanatory notes on the budget


Selection
201
1



EIM projects




A.

I
NTRODUCTION


These Notes provide information to applicants concerning the financial procedure related to budget proposal, its
apporoval
and to the determination of the level of the European
Union

grant. It also provides guidance on how to complete section 7
(Budget) of the application forms and related information on the rules for eligibility of costs.


The text of the draft gran
t agreement can
be downloaded

from the website:
http://eacea.ec.europa.eu/extcoop/usa/index_en.htm


or be requested at the call’s official mailbox

: EACEA
-
EU
-
US@ec.europa.eu



B.

F
INANCIAL PROCEDURE



1.

Funding request in the application form


The funding proposal must be submitted in the structure laid out in section 7).



2.

Determination of
EU
assistance


The funding mechanism applied under the US Programme is based on flat rate
and lump sum
financing. Applicants can
easily calculate the exp
ected grant amount and facilitate the realistic planning of the project.


Flat rate

financing covers specific categories of expenditure by applying a standard scale of unit cost (e.g. 1.000 € x week x
s
tudent
).


In addition, funding must respect the
following provisions:



the application: the total amount of funding shall be no greater than the amount requested by the applicant



the total amount of funding for a 4 year project may not exceed a maximum of 180.000 € .

This will include
a
n administrativ
e lump sum

of no more than 7.500 € per year per project with a total maximum
amount of 30.000 € for a 4 year project. For details on transatlantic mobility grants for students and faculty please
refer to the guidelines.
The Executive Agency reserves the r
ight to award funding at a lower amount than that
requested.



the grant may not under any circumstances give rise to a profit for the beneficiary or partners



the policy for awarding grants,



the available EU budget.



The grant agreement specifies the total approved budget for the project and the maximum amount of the grant.The final
amount of the grant awarded is determined by the Executive Agency after verifying that the action has been carried out in
accordance with
the agreement and can never exceed the maximum amount laid down in the agreement


The EU/
USA
grant is paid in the form of

-

a pre
-
financing payment of

40
% after signature by both parties

payable within 45 days of the signature of the agreement
by the Executive Agency.

-

Further pre
-
financing payments are divided into
2

instalments,
respectively

representing
40 and 20
% of the total amount
of the grant stipulated in article I.3.2.
of the agre
ement.

-

Payment of each further instalment is dependent upon the receipt and approval of a progress report and statement of
expenditure on the project implementation and may not be made until at least 70% of the previous pre
-
financing payment
has been used
up [and shall be conditional on the beneficiary producing, if applicable, a financial guarantee equivalent to
the aggregate amount of pre
-
financing].


36

-

the final amount of funding due will be determined by the submission and approval of a final report and a
statement of
expenditure on the project’s implementation


.


C.

R
ULES ON
E
LIGIBILITY


1.

General Principles


The contractor (project coordinator) must ensure that



expenditure is directly connected with and necessary for the implementation of the activities, according to the project
work plan and provided for in the approved estimated budget and has been generated during the lifetime of the
project as defined in the

grant agreement



all costs presented in the proposed Budget are necessary for the performance of the project



no member organisation of the partnership may derive a profit from financial assistance awarded by the European
Union



each item of expenditure is

only included under one heading of the proposed Budget.



2.

Eligible costs



Except for
administrative

lump sums
, only costs in respect of mobility grants for students and faculty are eligible under this
application No other cost item will be considered

as qualifying as eligible expenditure





D.

P
RINCIPLES APPLIED TO

THE DIFFERENT CATEGO
RIES OF FUNDING


1

Lump sum

amounts


3.750€ per Institution per year with a maximum amount of 7.500 € per project year and a total over 4 years of
30.000 € per project


2.

Transatlantic Student mobility
grants including

students’ travel costs


Under the EU/US Excellence Mobility projects, student mobility grants for EU students
are budgeted

1.000€ per month per
student

plus a 1000€ for travel (with a maximum of
of 5.000 Euros per student
)
.

Each mobile student should spend at least
one academic
semester or term of no less than four months

on the other side of
the Atlantic
and such to bear at least 30 ECTS.

The student stipend money is a block allocation intended to offset additional costs incurred by students travelling abroad
over the costs of r
emaining at the home institution.

Mobility stipends may not be used to move EU students within the EU.


3
Transatlantic Faculty mobility grants
.


Under the EU/USA Transatlantic Degree programme, faculty mobility stipends are budgeted at 1.000 Eur
os per week per
faculty member for a minimum period of 1 week and a maximum of 8 weeks plus a fixed amount of 1.000 Euros for travel
in relation to programme related scholarly work at the partner US Institutions.

Each successful project will be awarded a

maximum of 30.000 Euros for faculty travel grants.


Mobility stipends may not be used to move EU
faculty

within the EU
.


Monthly allowances and travel/relocation
flat rates

must be paid in full to the mobile student/ teaching faculty and administrative
staff.