Download Memorandum of Understanding Application Form

For International Office Use Only
Date Received:
Version:
Agreement code:
Application for Memorandum of Understanding
Proposal for Facilitating an MOU between Aberystwyth University and another
Institution based overseas or in the UK
Name of AU Academic Champion
Email
Department
Departments involved/ University-wide
Date proposal initiated
SECTION 1 – Institutional Information
1.1
Name and location of Institution:
Full address of Institution:
Website:
Contact name:
Contact position/ role:
Contact email:
Head of Institution name: President
Head of International Office name:
Contact email:
1.2
Type of Institution (please tick)
University
1.3
Legal Status (please tick)
 Publicly funded
1.4
 Other – please specify
 FE College
 Private
 Charitable
Range of awards offered (please tick one or more)
Diploma
Up to Honours degree
 Research degrees
 Up to Masters degree
1.5
Total student numbers: Undergraduate___ Postgraduate___
Total number of staff: Academic___ Administration___
1.6
Is Institution recognized? (please tick one or more)
NARIC  University Councils
 State Recognition
1.7
 Professional bodies
 British Council
National and international reputation of the institution
Please include general ranking, subject specific ranking, QA rating if available
1.8
Existing links and nature of the links with other UK HEI’s if any
International Office Use Only
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SECTION 2 – Rationale for Agreement
2.1
 New Agreement
 Addendum to Existing Agreement
 Renewal
 Broadening an Existing Arrangement
2.2
Type of collaboration (please tick one or more)
 Research
 Student/staff exchange
 Pathway programme (e.g. foundation)
2.3
 Articulation (e.g. 2+2)
 Franchise
Brief description of the proposed arrangement
Please explain how the collaboration will work, including admissions requirements
2.4
Rationale for agreement
Please include: background of agreement; alignment with the Aberystwyth University International Strategy; business
case; cost benefit analysis. Please include any arrangements with Agent if noted in Section 2.7
2.5
Has this agreement been approved by the Institute’s International Committee?  Yes
 No
Date of approval/ email confirmation received:
2.6
2.7
2.8
2.9
Proposed start date of agreement
Date of expected first cohort of
students
Estimated no. students per year
Is an agent involved in this
agreement?
If yes, please give details
Company Name:
Company Address:
Contact Person:
Position in Company:
Contact email:
2.10 Is there any involvement of Tier 4 students, either with immediate effect or at any time during the
duration of the proposed agreement?
 Yes
 No
If yes, please contact the Compliance Office for further guidance ([email protected])
Signed:
(Proposer)
Date:
-
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Agreement code:
Version:
SECTION 3 – Due diligence and Risk assessment
3.1 Financial Issues
Where relevant, describe any specific financial arrangements, to include agent fees and/ any proposed adjustments to tuition
fees.
3.2 Departmental Resources
Please comment on additional staff time/ resource implications within Departments
3.3 Other Issues
If relevant, any other comments relating to academic matters (e.g. the relationship between this programme and department
research interests)
3.4 Academic Quality
Please provide details of any quality assurance issues and/or mechanisms relating to the proposed agreement.
3.5 Financial Impact
Where the agreement has any financial consequence (e.g. income or expenditure) please provide details and forecasts,
particularly for any costs which will not be met by the participating Department/s or by external funding.
Please indicate:
1.
Likely number of students expected:
2.
Minimum number of students needed for continued viability of the agreement
3.6 Insurance Risk
Please identify, if appropriate, any unusual activities that could potentially require the University to extend its insurance
cover.
International Office Use Only
Perceived risk:
 Low
 Medium
 High
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International Office Use Only
Agreement code:
Version:
Section 4 – Approval in Principle
Approved by Institute
Please state conditions of approval if any
Signed:
(Director of Institute)
Date:
Approved by International Office
Signed:
(International Partnerships Manager)
Date:
Approved by Academic Office
Signed:
(Head of Collaborative Provision)
Date:
-