Joint Application Form for the CAMPUS Asia ( 別 添 4) Attachment4 (Attached form) 1. Project Title * Specify Field of Exchange 2. Name of the Persons Responsible for the Project Chinese Name of Name Affiliation Division Position Address Japanese Korean Tel. E-mail Name of Name Affiliation Tel. E-mail Name of Name Affiliation Tel. Mobile FAX Division Position Address Mobile FAX Division Position Address Mobile E-mail *Please add columns for the consortium composed of more than three universities. FAX 1
3. Project Summary (about 200 words) * Describe the background, objective, academic field, number of exchange students, degree to be conferred, achievements, expected outcomes, etc. *If this program is selected, this summary will be released along with a list of selected programs. 2
4. Proposal *Length: No more than four pages. 1) Project Objective & Background 2) Content of the Exchange Program - Academic field, number of exchange students, curriculum, degree to be conferred etc. - Difference from existing domestic and overseas programs/curricula in the same field 3) Expected Outcomes 4) Cooperative System and Roles of Participating Universities - You may submit copy of Letter of Intent for Cooperation etc. 5) Framework for credit transfer, grading, degree conferral 6) Student Support (Tuition waivers, counseling, internships etc.) 7) Language Plan 8) Monitoring & Evaluation / Feedback Plan 9) Publicity/Dissemination Plan 10) Cooperation with other institutions (local governments, NGOs, enterprises etc.) and Support from them 3
*Length: No more than one page Necessary budget: 2016: 2017: 2018: 2019: 2020: Note: Please describe how much each university can provide from its own budget and how much financial support each university is requesting from its respective government. 4
5. Schedule * Length: No more than one page 2016: 2017: 2018: 2019: 2020: Note: Please describe how many students and faculty members will transfer to other campuses on exchange over five years as detailed as possible. 5
6. Capability of the Institutions and Achievements in Cooperation * Provide information on the participating Chinese, Japanese and Korean universities (department, college, etc) - Competitiveness of participating university in the current project field - Achievements in cooperation (conclusion of MOUs, number of students exchanged or with conferred degrees, etc.), current status of exchange with foreign universities including universities participating in the consortium Name of Chinese Name of Japanese Name of Korean 6
7. Declaration Each university president or other supervising representative (or project manager) shall sign below to certify that all information contained in this application is correct to the best of his or her knowledge. Chinese : Project Manager: President: (Signature) (Seal) Japanese : Project Manager: President: (Signature) (Seal) Korean : Project Manager: President: (Signature) (Seal) *You may substitute a copy of a signed Agreement, Memorandum of Understanding (MOU) or Letter of Intent for this form. Note: - Applications will be invalidated if the content submitted to each of the three countries differs. - One university can participate in two or more consortia. - Two or more universities from one country can participate in one C-J-K consortium. - Each government shall provide support to the universities located in the respective country which it has selected accordingly. 7
8. Application Submission and Inquiries 1) Submission of application forms - Both hard copy application forms and electronic application forms must be submitted to the designated organizations noted below. - The application submission period will be from May23, 9am to May 27, 6pm, 2016, and no forms will be accepted after 6pm on May27. Country China Japan Korea Submit To China Academic Degrees and Graduate Education Development Center(CDGDC), Ministry of Education, China Contact Person: Li Hongyan Add: B1715, Tongfang Scientific Building, No.1 Wangzhuang Road, Haidian District, Beijing, China (100083) TEL:+86-10-8237-8735 EMAIL: campusasia@cdgdc.edu.cn URL: http://www.cdgdc.edu.cn/campusasia/ Please refer to the CAMPUS Asia Consortium Recruitment Announcement in the respective country Please refer to the CAMPUS Asia Consortium Recruitment Announcement in the respective country Note: - In principle, application forms cannot be corrected or replaced once they have been submitted. - Applications may be invalidated if forms contain serious errors or false statements. - Once submitted, application forms will NOT be returned. Each university must retain a copy for its records. - Each government will inform the universities about procedures concerning support for selected programs. 8
2) Inquiries If you have any questions, please contact the following government agency or organization. * Inquiries concerning program content China: * Inquiries concerning the policy for the program: Ministry of Education Division of Asia and African Affairs, Department of International Cooperation and Exchanges, No.35,Damucang Hutong Xidan, Beijing(100816) TEL:+86-10-6609-6650 FAX:+86-10-6601-3647 URL:http://www.moe.edu.cn * Inquiries concerning application submission and selection procedures: China Academic Degrees and Graduate Education Development Center(CDGDC) B1715, Tongfang Scientific Building, No.1 Wangzhuang Road, Haidian District, Beijing, China (100083) TEL:+86-10-8237-8735 FAX:+86-10-8237-9489 URL: http://www.cdgdc.edu.cn/campusasia/ Japan: Korea: Ministry of Education, Culture, Sports, Science and Technology Office for International Planning, Higher Education Policy Planning Division, Higher Education Bureau 3-2-2 Kasumigaseki, Chiyoda-ku, Tokyo 100-8959 TEL: +81-(0)3-5253-4111(3352) FAX: +81-3-6734-3385 URL: http://www.mext.go.jp Ministry of Education International Education Cooperation Division 408 Galmae-ro, Sejong, Republic of Korea TEL : +82-44-203-6817 FAX : +82-44-203-6788 URL: http://www.moe.go.kr Korean Council for Education (KCUE) International Cooperation Team TEL: +82-2-6919-3911 FAX : +82-2-6919-3919 URL: http://www.kcue.or.kr 9