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SEAMEO

50x3 Schools’ Network

A Network of Sharing and Development

APPLICATION FORM

The last day for application submissions: 17 August 2015

 Schools must ensure that the SEAMEO Secretariat receives the application form by 17 August 2015.

 The digital format of this Application Form can be downloaded from the SEAMEO website:

www.seameo.org,or requested by sending an email to: [email protected]

Guidelines for school applications and selection criteria are detailed in page 8 of this document.

 More information, please contact the SEAMEO Secretariat, Bangkok (telephone number: +662 (0) 391 0144, fax number: +662 (0) 381 2587, and email address: [email protected]

PART I: Information about your school

1. Name of your school:

2. Full address:

3. Postcode:

5. Country:

6. School’s telephone number (country code+city code+telephone number):

7. School’s fax number (country code+city code+fax number):

8. School website (if available):

9. School’s email Address:

10. Name of the Head Master/Principal/School Director:

11. Name of the Teacher Coordinator:

12. Email address of the Coordinator:

13. Please identify the type of your school

O Public/governmental school

O Private school

O Others (please specify) ………..

14. Educational level of your school (Please check √ and provide details )

O Primary/Elementary School, from (level) …….……. to (level)…….……..

O Secondary/ High School, from (level)……….to (level)…….……...

O Vocational and Technical School, from (level)………to (level)……..……….

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15. Total number of teachers in your school:

16. Total number of students in your school:

17. Do you have internet access at your school?

O Yes

If yes, please provide details of the internet capacity at your school:

 Internet speed: ………….Mbps

 Type of internet: O ADSL O Leased line O Others………….………….

O No

18. If the training courses will be conducted through on-line/web, are the teachers in your school able to participate in the training courses?

O Yes

 Approximate number of teachers who are able to participate in the on-line training: ………

O No

19. If the training course will be conducted in English language, are the teachers in your school able to participate in the training courses?

O Yes

 Approximate number of teachers who are able to participate in the training courses conducted in English language………..

O No

PART II - Information about the school’s current needs and programmes Information in Part II – should not be over five (5) pages of A4 in total.

1) Brief information about your school and the list of some outstanding current programmes/activities in the school, and with the community.

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 Xxxx

2) The top five priority problem areas the school’s management would like to improve, and the school’s plan to improve these specified five problems, and challenges.

Top five priority problem areas

of your school Brief plan to impove the problem Challenges

1.

2.

3.

4.

5.

3) Please indentify areas that the school needs for networking activities with other schools in the same countries, or schools in other countries in Southeast Asia.

3.1 Areas that schools needs for networking activities with other schools in the same countries

 XXX

 XXX

 XXX

 XXX

 XXX

3.2 Areas that schools needs for networking activities with other schools in other countries in Southeast Asia (The areas can be similar or different from 3.1)

 XXX

 XXX

 XXX

 XXX

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4) Please describe why your school would like to participate in the SEAMEO50x3 Schools’ Network, and what are your expectations by joining this network. (Maximum of 300 words or a half page of A4)

PART III – Photos related to your school

1) Photographs related to the school’s facilities and learning centres such as buildings,

classrooms, library, science lab, computer lab, canteen, sport&recreation areas (Maximum of five photographs with captions written in English.)

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Photo#2

Photo#3

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Photo#5

2) Photographs related to school activities (Maximum of three photographs with captions written in English.)

Photo#1

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Photo#3

PART IV – Supporting Documents

 Please provide the list of supporting documents attached with this application form.

 The supporting document can be such as the following documents: o A copy of the school operational plan or school management plan o Brief results of the school evaluation/assessment

o Brief information about the school’s current partnership activities/programmes

 The supporting documents can be in local languages, however a brief translation in English should be provided.

Document 1)…(File name)………. Document 2) ………..

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SEAMEO

50x3 Schools’ Network

A Network of Sharing and Development

APPLICATION GUIDELINES:

How to participate in the SEAMEO 50x3 Schools’ Network

1) All public and private primary, secondary and vocational Schools’ in 11 Southeast Asian countries, namely: Brunei Darussalam, Cambodia, Indonesia, Lao PDR, Malaysia, Myanmar, Philippines, Singapore, Thailand, Timor-Leste and Vietnam are invited to submit an “Application Form” to participate in the “SEAMEO 50x3 Schools’ Network”.

2) The deadline for application submissions is Monday 17 August 2015. Please ensure that the SEAMEO Secretariat receives your application form by 17 August 2015.

3) There is no application or registration fee for this programme.

4) Information about the school in the Application Form must be written in English. The supporting documents can be in local languages, however a brief translation in English should be provided.

5) Schools can submit the "Application Form" and other supporting documents to the SEAMEO Secretariat by:

a) Email: [email protected] and/or

b) Send a Compact Disc (CD) or handy drive containing the digital files of the application form and supporting documents to the following address by post. (Please protect the CD from damage by wrapping it in bubble wrap. The printed version of the completed application form should be included in the mailing package.) received any acknowledgement of the receipt from the SEAMEO Secretariat within one week after the submission date, please contact the SEAMEO Secretariat, email: [email protected]

SELECTION CRITERIA

The assessment and evaluation of application forms will be conducted by the selection committee which consists of experts and representatives from SEAMEO Regional Centres.

For the year 2015, only 50 primary schools, 50 secondary schools and 50 vocational and technical schools will be selected.

The selection criteria are as follows:

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