Ukraine Higher Education Leadership Development Programme

Application Form

  1. Information about University

University name
Web-site address
Year of the university foundation
Student number
Staff number
  1. Information about Project

Title of the project to be developed by the university team under the Programme
Project description (up to 300 words)
Project timescale
Why has the university decided to do it?
How does the project link to the university’s development strategic priorities? / (It is highly recommended to confirm with the relevant provision of the university’s development strategy and provide the link to the document)
Project main activities /  -
 -
 -
 -
 -
 -
University’s available resources for the project implementation
What is the scale of transformational change you hope to achieve with the project?
How will the University’s students benefit from the project?
University performance indicators to be positively changed as the project results
  1. Information about the University’s team

5 participants of «Team Leadership» component

Participant 1 – Team Leader
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
В1 / А2
Role in the project
2-3 personal achievements important for the project implementation
Participant 2
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
В1 / А2
Role in the project
2-3 personal achievements important for the project implementation
Participant 3
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
В1 / А2
Role in the project
2-3 personal achievements important for the project implementation
Participant 4
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
В1 / А2
Role in the project
2-3 personal achievements important for the project implementation
Participant 5
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
В1 / А2
Role in the project
2-3 personal achievements important for the project implementation

2 participants of «Young Leaders» component

Participant 6
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
B1
Role in the project
2-3 personal achievements important for the project implementation
Participant 7
Name and Surname
Job title, department
Contact phone
Email
Age
English comprehension level / С2
С1 / В2
B1
Role in the project
2-3 personal achievements important for the project implementation
  1. Information about the Programme

Activities on disseminating the results of participation in the Programme among universities in Ukraine

Activity title / Short description of the Activity / Expected Results
University team’s expectations of the participation in the Programme
How did you learn about the Programme?

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