CSIRO Industry PhD (iPhD) Program This is a sample iPhD Expression of interest form which is read-only and not for off-line completion. •All EOIs must be submitted via the online submission portal. •All involved parties (industry, university and CSIRO) are required to complete theEOI collaboratively online. •The leading party will need to register an account and then invite the other parties to register. EOI name • • • • • ’s Australian Capital Territory Northern Territory University postcode Attach evidence of approval from your Graduate Research School (GRS) or equivalent university delega􀀠te responsible for approving PhD projects  We encourage use of our template which contains university requirements and project information to help you communicate d􀀠raemtails to your Graduate Research School. Copy and paste this template into an email. Fill out project specific sections. Send email to your GRS. Attach email evidence from your GRS stating that the EOI submission is approved. • • • • Consent to join the mailing list to receive general updates and news about the iPhD program. Yes No • You can opt out at any time by unsubscribing or emailing the iPhD team. Consent to be invited to participate in iPhD promotional activities. Yes No • You may decline any requests at your discretion or opt out of future requests at any time by emailing the iPhD team. By submitting this EOI, I make the following declarations: I confirm that I have read, understood and will comply with guidelines outlined in the iPhD Program Rules. I consent to the collection, use and disclosure of personal information in the ways described in the iPhD EOI Privacy Statement. • Visit the EOI Privacy Statement to understand what personal information will be collected and how it will be used. I confirm no actual, apparent or perceived conflict of interests in relation to the EOI. • If you think you may have a conflict of interest, please contact the iPhD team to discuss. I confirm that I have obtained the appropriate approvals on behalf of my university to submit this EOI. • Ensure that you have attached the appropriate approval in the above section. I confirm that all information is true and correct to my knowledge and I acknowledge that giving false or misleading 17information is a serious offence under the Criminal Code Act 1995 (Cth). • Read the Criminal Code Act 1995 (Cth) Sample This section of questions relates to the CSIRO superviso􀀠r, however all sections must be reviewed and approved by all partners. Ensure that you have email evidence of support from the relevant CSIRO Research Program Director ready to upload. I acknowledge that iPhD is a four-year engagement, and if the EOI is successful a Collaboration Agreement will be developed outlining the responsibilities of each party. I will enable my student to attend the courses prescribed under the iPhD Professional Development and Training program. This will account for an estimated mandatory five training days per year or 20 days across four years. iPhD Launch Camp is one of the mandatory courses and is a full-day face-to-face session. • • l will participate in iPhD Monitoring and Evaluation activities across 4 years. • These activities will comprise of either interviews or surveys. The student's Project Expense and Development funds do not cover any supervisor expenses pertaining to the delivery of the project, including travel and accommodation to accompany students on iPhD events, site visits or conferences. • Any university supervisor travel costs (if travelling regionally or interstate) must be covered by the university. CSIRO Research Program Research program name must be identical to the program name as it appears in O2D. Please type out details. MyCSIRO links will not be accepted. • • CSIRO supervisor List the CSIRO supervisor who will be mainly responsible for the student. This supervisor will be listed on all documentation as the CSIRO contact. Adjunct and co-supervisor names are not required on this form. Any additional supervisors will be under the direction of the supervisor listed. • • • CSIRO supervisor email Work email address only, avoid use of personal accounts. Please type out details. MyCSIRO links will not be accepted. • • Confirm eligibility and availability to be the CSIRO supervisor of the student for up to four years. Sample Additional CSIRO supervisor/s name/s (optional) List any additional supervisors that will be involved in student supervision. This is not a requirement of the program and is an optional field. The supervisor listed above will be responsible for any additional supervisors written in this section. If the EOI is approved, additional supervisors will not be included on the contract and are for information only. • • • • Additional CSIRO supervisor email/s (optional) Research Unit Program Director Attach evidence of approval from your Research Unit Program Director  In addition to Research Director approval, it is recommended to discuss the EOI with your Business Development Manager and Contract Manager. We encourage use of our template which contains CSIRO requirements and project information Copy and paste this template into an email. Fill out project specific sections. Send email to your Research Director. Attach email evidence from your Research Director stating that the EOI submission is approved. • • • • Consent to join the mailing list to receive general updates and news about the iPhD program. Yes No • You can opt out at any time by unsubscribing or emailing the iPhD team. Consent to be invited to participate in iPhD promotional activities. Yes No • You may decline any requests at your discretion or opt out of future requests at any time by emailing the iPhD team. By submitting this EOI, I make the following declarations: I confirm that I have read, understood and will comply with guidelines outlined in the iPhD Program Rules. Sample Ensure that you have email evidence of support from the industry partner’s board, CEO or equivalent ready to other upload. I consent to the collection, use and disclosure of personal information in the ways described in the iPhD EOI Privacy Statement. • Visit the EOI Privacy Statement to understand what personal information will be collected and how it will be used. I confirm no actual, apparent or perceived conflict of interests in relation to the EOI. • If you think you may have a conflict of interest, please contact the iPhD team to discuss. I confirm that I have obtained the appropriate approvals on behalf of my Research Unit to submit this EOI. • Ensure that you have attached the appropriate approval in the above section. I confirm that all information is true and correct to my knowledge and I acknowledge that giving false or misleading information is a serious offence under the Criminal Code Act 1995 (Cth). • Read the Criminal Code Act 1995 (Cth) I acknowledge that iPhD is a four-year engagement, and if the EOI is successful a Collaboration Agreement will be developed outlining the responsibilities of each party. I will enable my student to attend the courses prescribed under the iPhD Professional Development and Training program. This will account for an estimated mandatory five training days per year or 20 days across four years. iPhD Launch Camp is one of the mandatory courses and is a full-day face-to-face session. • • l will participate in iPhD Monitoring and Evaluation activities across 4 years. • These activities will comprise of either interviews or surveys. The student's Project Expense and Development funds do not cover any supervisor expenses pertaining to the delivery of the project, including travel and accommodation to accompany students on iPhD events, site visits or conferences. • Any CSIRO supervisor travel costs (if travelling regionally or interstate) must be covered by the Research Unit. Sample This section of questions relates to the industry supervisor, however all sections must be reviewed and approved by all partners.