Australian Academy of Science

France-Australia Science Innovation Collaboration (FASIC) Program
Early Career Fellowships

INITIAL REPORT GUIDELINES

DUE: 30 DAYS AFTER TRAVEL

Please send your report electronically to grants@science.org.au

Your report may be used for promotional purposes.  Your report also assists the Academy to meet its reporting obligations to the Commonwealth.  The Academy would like to provide brief details of your visit on the Academy’s website.  We would like to include your email address to enable interested researchers to contact you.  Do you agree to the Academy providing this information?

	 YES

	 NO

NAME AND POSITION:	     

DATES TRAVELLED:	     

1. Your name, business address and email address

     

2. The title of your research project

     

3. The name and address of your host(s)

     

4. Abstract of your report (100 to 150 words)

     

5. Itinerary: Dates of departure and return to Australia, list of universities/institutions visited, host scientists, presentations given and dates of visits

     

6. Achievements: Discuss immediate benefits of the visit to your personal research work such as:

	 establishment of contacts with researchers in your field
	 initiation of collaborative work
	 papers published or expected to be published

     

7. Summarise the value of your research project to Australian Science; how your visit has improved Australian access to leading-edge science and technology.  For example:

	 gained access to leading-edge small to medium research facilities and equipment, 
               data, knowledge and skills not available or more advanced than in Australia
	 significant contributions to your field of scientific research
	 how will the visit lead to long-term collaborations (e.g. personal or organisational           
             agreements and exchanges).

     

8. Your impressions of the standard of your field of science and technology in the country that you visited

     

9. Comment on the FASIC program in general.  Discuss any problems you encountered.  Please make suggestions regarding administrative or other aspects of the program which would make it more efficient or more effective

     

10. If your visit contributed to any objectives as listed below, please explain how

	 Improve the capacity of industry to exploit new technologies.
	 Build productive alliances between industry, science and technology.
	 Facilitate a culture of innovation in Australian Business.
	 Contribute to the commercialisation of R&D.

     

11. Summary Outcomes
Based on the information you have provided above, please complete the table below indicating the number of activities per outcome.

Outcome	Number of activities 
Access to global science facilities	     
Development of Agreements, Exchanges etc.	     
Facilitation of long-term collaborations	     
Number of contacts made with Academies and Societies	     
Number of joint papers	     
Number of overseas contacts established	     
Number of presentations	     
Patents	     

12. Supplementation of travel grant. The AAS travel grant can sometimes be a component of your collaborative research. Supplementation of the travel grant can take various forms, in terms of contributions from the home institution (e.g. salary) and the host institution (e.g. access to equipment, reagents, software). Please describe the extent of supplementation of the travel grant, giving dollar estimates if possible, by:

a)	Home institution		_______________________________________________
Dollar Estimate		$__________._____
Details			     

b)	Host institution		________________________________________________
Dollar Estimate		$__________._____
Details			     

c)	Personal contribution	________________________________________________
Dollar Estimate		$__________._____
Details			     

d)	Other			________________________________________________
Dollar Estimate		$__________._____
Details			     

FINANCIAL STATEMENT

Name:		     

Address:	     
		     
		     
		     
		     

Name of Program:	France-Australia Science Innovation Collaboration (FASIC) Program Early Career Fellowship 

I received the following funds from the Australian Academy of Science:
	
Contribution to Airfare:	$     	
Living Allowance:	$     	
TOTAL:	$     	

The dates of my visit that were supported by the Academy were:
     

I confirm the grant was fully expended on costs associated with my fellowship.

Signed: (insert electronic signature here)

Date: