Annex 3a: Application Form HERIC Project Institutional Improvement Grant Scheme APPLICATION FORM Cover Page Applicant institution [In the case of university applying on behalf of its faculty, Leading partner provide here the name of the respective faculty] Postal address* Telephone number* Fax number* Responsible name person for position at the HEI this project (Project e-mail address Manager)* Website of the Organisation* *Explanatory note: in the case of university applying on behalf of its faculty, provide information for the respective faculty. Proposal full title Proposal acronym Project duration [in months] budget of the project Requested grant amount [€] % of co-financing [in respect to requested grant amount] List of participant institutions
Annex 3a: Application Form HERIC Project Institutional Improvement Grant Scheme APPLICATION FORM Cover Page Applicant institution Leading partner [In the case of university applying on behalf of its faculty, provide here the name of the respective faculty] Postal address* Telephone number* Fax number* Responsible person for this project (Project Manager)* name position at the HEI e-mail address Website of the Organisation* *Explanatory note: in the case of university applying on behalf of its faculty, provide information for the respective faculty. Proposal full title Proposal acronym Project duration [in months] budget of the project Requested grant amount [€] % of co-financing [in respect to requested grant amount] List of participant institutions
annex_3a_-_application_form_2.docx