Application-form IV.
Regarding financial support for an other ACTIVITY. Organized by a faculty, faculty department(s) / section (s) or organized by (a) study association(s). Please do not use this form for individual or collective study trip(s).
General GUIDELINES applicable to ACTIVITIES.
- The project should contribute to ‘growth and flourishing’ of Erasmus University Rotterdam, clearly define this in your motivation letter.
- Applicant is an (academic) employee of the EUR or a recognized EUR related organization.
- Only these applications for an activity will be taken in consideration when it is obvious that only with participating financial support of Erasmus Trustfonds it is impossible the activity will be organized. Repeated activities, after the first has been awarded, does not qualify for support.
- Incomplete applications (as well when any of the required documents are missing) will not be accepted.
- Your application must have been received by Erasmus Trustfonds no less than six weeks before the date of the activity itself.
- Please note that we require partial funding (at least 50%) from other sources (university/faculty/third parties etc.). In addition we require as well a private contribution from the participants.
- The application should be accompanied by a detailed budget (both income and expenses, as well as by explanatory notes, which should be as exhaustive as possible).
- Please specify (expected) financial internal contributions from Erasmus University Rotterdam, faculty and/or capacity group, which underline the importance of the proposed activity.
- Did you as well apply by any external institutions/ companies etc. for funding to support organizing the activity (including in kind contributions)? We would be pleased to be notified of the results.
- Specify the amount of money you request by this application for your activity to receive from Erasmus Trustfonds. Specify to us as well on which specific expenses you want to spend our contribution on. Erasmus Trustfonds is not able to finance catering, complete entrance tickets and personal staff. These mentioned examples are not limited!
- Please inform us with the names and contact details of the independent financial audit committee consisting of at least 2 individuals who are not involved in the organization of this activity. As an alternative refer to the internal auditing department of your faculty. Please note for final settlement a written approval from either this auditing committee and or your faculty auditor is required.
- What will you do when you will not be able to arrange the total required finance for your activity?
- If your activity is part of a bigger project/ concept please specify and we may request you prepare an interim progress report.
When granted we highly appreciate you mention our name, Erasmus Trustfonds and our logo in your program, handouts, communication etc., processed for this activity that the Erasmus Trustfonds financially is financially supporting you. Our logo is available via our office.
Afterwards we expect a final report within two months upon the activity is finished.
Furthermore:
Please provide us with your EUR bank account number to which we may transfer, if granted, the Erasmus Trustfonds contribution.
Note we require a budget check and approval either from your faculty controller of an independent financial audit.
The above does not imply any commitment on our behalf.
Your application with all the required documents need to be sent to
Erasmus Trustfonds will supply you ASAP with an automatic reference number for any communication about this project. When granted, in all further correspondence about this specific project, please mention the assigned file- or reference number.
All personal information provided will be handled confidentially.
(You can use F11 to fill the form.)
Date of application:
Applicant data (section A)
Incomplete applications will not be accepted.
Factulty and Department
Building &Room number
Correspondence address
Zip code and place
Name applicant
Male/Female
Job title /profession
Telephone number
Mobile
E-mail applicant
EUR IBAN number
Registered name IBAN acc.
Other EUR faculties involved
Name controller
Telephone number
Mobilenumber
E-mail controller
Please Enclose:1) Statuten organizing organization
2)Motivation letter
Additional Information, regarding your Activity (Section B)
Incomplete applications will not be accepted
Name project
Number of participantsor by estimation
participating EUR academic staff EUR students
participating non EUR academic staff NON EUR students
Location:
campus
name location in Rotterdam
city
country
Date until
Duration days
Is this a yearly organized activity: yes / no
If yes, since when is this activity organized:
If no, why is this organized now (max 250 words):
Is your activity a sub of a bigger program:yes / no
If yes, which program:
Is this activity part of a study program:yes / no
How many ECTS
Name of EURproject manager(s):
Contact data (@ and phone number): @
phone number
Name of non EUR supervisor(s):(if applicable)
Contact data (@ and phone number):@
phone number
Has your activityreceived an Erasmus Trustfonds grant before in the past 3 years: yes / no
If yes, please specify; dateproject amount per participant
dateproject amount
dateproject amount
dateproject amount
dateproject amount
Strategic Contributions:
How does the activity contributes to ‘growth and flourishing’ of Erasmus University Rotterdam?
How does the activity contributes to the City of Rotterdam?
How does the activity contributes to the business community of Rotterdam, The Netherlands?
Please Enclose:1)Activity description
2) Preliminary program
Regarding a multi disciplinary activity (C)
Incomplete applications will not be accepted
Nameuniversity / faculty: faculty
Department:
Name contact person:
Email:
Name university / faculty: department
Contact person:
Email:
Name university / faculty: department
Contact person:
Email:
Name university / faculty: department
Contact person:
Email:
Activity is enclosed in flagship/ Erasmus initiative program: yes / no
If yes (please specify with X):
Healthy People & Health Systems
Inclusive Growth & Prosperity
Vital Cities & Vital Citizens
Please Enclose:2) Reference letter from the faculty Dean involved and / or the involved EUR professor or head of department.
Finance (Section D)
Incomplete applications will not be accepted.
Part 1. please upload your budget form here or use Part 2
Part 2. General Expenses Total Expenses €
Additional cost explanation if applicable:
No,
Yes, / upload here
ExpectedIncome*Total Income €
* Institutional / own department, (student) contributions and other sponsors: at least need to cover 50 % of total costs.
Erasmus Trustfonds will not be able to accept this application when next information is missing anyhow.Pleasespecify following Income :
Total contribution fees academic participants€
Total contribution fees student participants€
EUR / faculty contribution€
Own association contribution€
Sponsoring€
Total Income €
Did you as well apply to other internal / external institutions / organizations / sources to find funding for organizing this activity? yes / no
No, please specify here why not
Part 3. Deficit on the budget€
What amount of money do you request from Erasmus Trustfonds
to contribute €
Specify to us on which specific cost you want to use our contribution.
description euro
description euro
description euro
description euro
description euro
What will you do in return for the Erasmus Trustfonds when we support you with a grant?
What will you do when you are not able to succeed to arrange the financial total required amount for theactivity to be organized?
1) Letter of proof regarding your financial support by the relevant department, / Faculty / organization (at least 50%)
Confirmation, disclaimer & declaration (Section E)
Incomplete applications will not be accepted.
The organization Erasmus Trustfonds, is an independent organization and not part of the EUR. By signing below I consent to information regarding the content and status of the application being shared with the Erasmus University Rotterdam and its faculties / institutions.
I have completed the form with the information to the best of my knowledge. I explicit consent to Erasmus Trustfonds and or EUR to process and retain my data as supplied on this application form. Erasmus Trustfonds and or EUR will process this data in accordance with the legal requirements. Data will be used and securely retained by these parties in order to process this application, to evaluate the project and to process future learn, earn, return matters. We will not give the data to any third parties if permission has not been granted.
Please, tick this box to confirm that you give consent tothe above use of data. If you have concerns please contact Mrs. M. van Eesteren at Erasmus Trustfonds .
The above information is stated according to the truth,
Place:
Date:
Name:
Please send your application by mail to .
Notice to send all annexes below and please note incomplete (non-signed) applications and when enclosures are missing Erasmus Trustfonds will not be able to accepted your application.
Enclosedrequirements
1)Statutes organizing organization
2)Motivation letter ( in which clearly explained how this activity contributes to a ‘spin off’ effect for the university).
3)(Preliminary) program
4)Reference letter from the faculty Dean and / or the involved EUR professor or head of department /including the approval for this activity
5)names of the independent financial audit committee consisting of at least 2 individuals who are not involved in the organization. As an alternative refer to the internal auditing department of your faculty. Please note for final settlement a written approval from either this auditing committee and or your faculty auditor is required.
6)Specify (expected) financial contributions from the university, faculty / department or other parties involved by a letter of proof. Note we require at least 50% funding by other sources.
When granted:
Please send a final report within 2 months after the activity took place.
© No part of this publication may be reproduced and/or published by means of print, photocopy, microfilm or any other medium.
2017
EUR activityto be organized