PARTNER UNIVERSITY FUND (PUF)

2012 Edition APPLICATION FORM

How did you hear about PUF? Associations, foundations (ACE, AASCU, IIE, nsf, cge, Cdefi, cpu, cnrs, etc.): Newsletter (which one): Newspaper (The Chronicle, etc.): Other (please specify): IMPORTANT DATES ELECTRONIC SUBMISSION The application form must be uploaded together with the corresponding financial form before the closing of the call for projects on February 6th, 2012 on the following webpage: http://facecouncil.org/puf/application/upload-application/ An email receipt will be automatically sent to the project coordinator upon uploading successfully PAPER VERSION A printed version of the application form and financial form must be sent by mail at the latest on the 02/13/2012 at the following address: Partner University Fund Cultural Services of the French Embassy 972 5th Avenue, New York, NY 10075 USA

THE

FORMS SENT AFTER THESE DATES WILL BE REGARDED AS NOT HAVING BEEN

RECEIVED.

CONTACTS Camille PERETZ, Ph.D Executive Director Cultural Attach camille.peretz@ambafrance-us.org Tel: +1 212 439 1456 Isabelle SCHONINGER PUF Program coordinator isabelle.schoninger@ambafrance-us.org Tel: +1 212 439 1491

1. PROJECT Title of the project : US institution : French institution : Humanities Level(s)*: Master Other fields PhD Postdoctoral Research

*Projects may include several levels Subject Area(s)*: *Projects may include several subject areas Mathematics, IT and applications Information Technologies Physics Sciences Engineering Sciences Space, aeronautics Chemical Sciences Earth Sciences Energy, transport, environment Medicine, health Life Sciences Agronomy and food sciences Arts Sociology Economy Politics Law Management and business administration Education Urban planning and transport studies Humanities. Dplacer en avant-dernire position Other

2. APPLICANT INFORMATION LEAD PARTNERS US partner Name of the institution Project leader Name Job title Work address French partner

Zip code City Country Tel Fax E-mail

ADDITIONAL PARTNER(S)

MAJUSCULE Additional partner 1 Name of organization Project leader Name Job title Work address Additional partner 2

Zip code City Country Tel Fax E-mail

3. TABLE OF PARTICIPANTS

3.1. Students

3.1.1. Number of students involved (including distance-learning, students benefiting from courses or tutoring by university professors, mobility, etc.) in the partnership

UNIT =PERSON
Year one France USA Total Year two Year three Total

UNIT =PERSON*MONTH I.E 1

Year one France USA Total

REPRESENTS ONE PERSON DURING ONE MONTH

Year two

Year three

Total

3.1.2. Number of students involved in mobility (subpart of 3.1)

UNIT =PERSON
Year one France to USA USA to France Total Year two Year three Total

UNIT=PERSON*MONTH I.E 1
Year one France to USA USA to France Total

REPRESENTS ONE PERSON DURING ONE MONTH

Year two

Year three

Total

3.2. Faculty

3.2.1. Number of Faculty involved (including distance learning, joint research,

mobility, etc.) in the partnership

UNIT =PERSON
Year one France USA Total Year two Year three Total

UNIT=PERSON*MONTH I.E 1
Year one France USA Total

REPRESENTS ONE PERSON DURING ONE MONTH

Year two

Year three

Total

3.2.2. Number of Faculty involved in mobility (subpart of 3.2)

UNIT =PERSON
Year one Year two Year three Total

France to USA USA to France Total

UNIT=PERSON*MONTH I.E 1
Year one France to USA USA to France Total

REPRESENTS ONE PERSON DURING ONE MONTH

Year two

Year three

Total

4. BUDGET

PLEASE FILL OUT THE EXCEL FINANCIAL FORM AVAILABLE ON THE PUF WEBSITE AND UPLOAD IT TOGETHER WITH THE APPLICATION FORM. MAKE SURE YOU FILL OUT THE FINANCIAL FORM CORRESPONDING TO THE CHOSEN FIELD (HUMANITIES OR OTHER FIELDS)

4.1. SHORT NARRATIVE EXPLAINING THE NATURE AND PURPOSE OF THE PLANNED EXPENSES

4.3. OTHER GRANT(S) REQUESTED OR ALREADY OBTAINED FOR THIS PROJECT

French team Have you already obtained other financing for this project? If yes, With the same partner? From which source? For what amount? For which period? Elements of context: Yes No Yes No

If necessary, you may annex a document to this application form

US team Have you already obtained other financing for this project? If yes, With the same partner? From which source? For what amount? For which period? Elements of context: Yes No Yes No

If necessary, you may annex a document to this application form

French team Have you requested other financing for this PROJECT? If yes, With the same partner? From which source? For what amount? For which period? Elements of context: Yes No Yes No

If necessary, you may annex a document to this application form

US team Have you requested other financing for this project? If yes, With the same partner? From which source? For what amount? For which period? Elements of context: Yes No Yes No

If necessary, you may annex a document to this application form

5. PROJECT DESCRIPTION AND RATIONALE 5.1. Project summary (2500 characters max): rationale, departments, schools involved, activities, etc.

5.2. History of the partnership (if applicable)

5.3. Background and general objectives

5.4. Specific objectives, originality and novelty of the project

5.5. Departments/units involved

5.6. Description of activities, including levels, timetable, and milestones

5.7 Description of how the project will be sustained after the grant period

5.8. If exchanges are involved, describe housing and other arrangements

6. OUTCOMES OF THE PROJECT 6.1. Expected outcomes of this project: Joint and dual degrees, educational initiatives, publications, symposia

6.2. Regional perspectives: Existing or planned participation in European/ North American programs; names and partners

6.3. Other international perspectives

6.4. Present or considered Industrial Perspectives

6.5 / Monitoring of the partnership (suggested internal steps/procedures)

7. ADDITIONAL INFORMATION (for joint research projects only) Additional information can be uploaded together with the application 7.1. Teams presentations

US: names and short bios:

France: names and short bios:

7.2. Equipment available for this project US:

France:

7.3. Significant publications relative to the project US:

France: