Form No.1 – International Partnership Proposal Form: Academic Institution

International Partnership Proposal Form: Academic Institution

A. Profile of Potential International Partner

Logo of Potential Partner *

No file chosen

Name of the Potential International Partner *

Street Address *

City

State/Province

ZIP / Postal Code

Country

Website

B. Lead Persons’ Information

Potential Partner's Lead Person (External)

Title

Complete Name

Position/Designation

Specific Unit/Office

Email Address

Contact Number

BSU Lead Person (Internal) (if any)

Title

Complete Name

Position/Designation

Specific Unit/Office

Email Address

Contact Number

C. Detailed Description of Potential Partners

1. Quality Assurance & Accreditation Status

a. World(W)/Regional(R)/National(N) Ranking University

Name

2. Complementarity and Compatibility with BSU

a. Vision and Mission

Vision

Mission

b. Academic Programs & Accreditation Status

Faculty/College/Department

Field Academic Programs

Accreditation Status

Accreditation Validation

Source/Website

c. List of Research Programs

Research Centers/Units/Departments

Programs/Projects/Description

Source/Website

d. List of Extension Programs

Extension Centers/Units/Departments

Programs/Projects/Description

Source/Website

e. List of Production Programs

Production Centers/Units/Departments

Programs/Projects/Description

Source/Website

3. Compliance of Program Curricula with National Program Standards/Accreditation

Bachelor’s Degree

Total Number of Programs

No. of Compliant ProgramsNote: refer to Item 2-b for the status of program accreditation

Remarks

Master’s Degree

Total Number of Programs

No. of Compliant ProgramsNote: refer to Item 2-b for the status of program accreditation

Remarks

Doctorate Degrees

Total Number of Programs

No. of Compliant ProgramsNote: refer to Item 2-b for the status of program accreditation

Remarks

4. International Partners/Linkages/Internationalization Programs

This may be used as an indicator to determine the potential partner’s commitment to providing internal funding.

a. List of International Partner/Linkages

Name of Partner

Description

Source/Website

b. List of Internationalization Programs

Program

Description

Source/Website

5. Cross-Cultural and Inclusiveness Programs

This may be used to show recognition of, and respect for national differences, and efforts (e.g., gender, religion, cultural activities, PWD access, outreach programs)

a. List of International Affiliations

Name

Description

Source/Website

b. Cross-Cultural and Inclusiveness Programs

Program

Description

Source/Website

6. List Sustainable Development Programs

a. List of SDG Programs

Program

Description

Source/Website

7. Proposed Programs/Projects/Activities for Collaboration with Potential Partner

Willingness to make collaborative decisions; and share responsibility and resources. Please attach the draft of the agreement.

No file chosen

a. Tentative List of Partnership Programs between BSU and Potential Partner

Area of Collaboration

Name of Program/Project/Activity

Objectives

Proposed Date

Expected Outcome

b. Initial Partnership Resources Information

Nature/Type

Internal Resources: BSU

Internal Resources: Potential Partner

External Resources

CONSOLIDATED BY:

Name *

Position/Designation *

Save as Draft