FASIC FELLOWSHIPS 2016
REFEREE REPORT FORM
(please type)
Applicant details:
Name of applicant:
Full name and title
(Upper case for surname)	     	
Referee details:
Name, appointment, address and contact details of referee:
Full name and title
(Upper case for surname)	     	
Organisation	     	
Department	     	
Postal address	     	
Email address	     	
Phone number	     	
Fax number	     	
Referee report: (Maximum length one to two A4 page(s)). Please address the criteria as per the Notes for Referees.
1.	Is your field of research the same as the applicant’s?  Please explain.

2.	Please discuss the scientific merit of the proposal.

3.	The objective of the Program is to support research and initiate or consolidate collaboration with a leading-edge French host organisation. Would the proposed visit achieve these outcomes (e.g. establish links with researchers; gain access to equipment, knowledge and/or skills not available in Australia)?

4.	Please describe the benefits of conducting this research project in France rather than in another country, including Australia.

5.	What personal qualities does the applicant have that would make him/her successful in establishing or expanding contacts in France?

6.	Would the proposed visit contribute to the development of the applicant’s field of research and/or career?

7.	Please declare your connections with the applicant in the area of joint-publications.

Signature of referee:	

Date: