Forms & Templates

JBIC Entity Administration

JBIC ENTITY ADMINISTRATION FORM

NEW JBIC ENTITY CHECKLIST

Entities are required to complete the JBIC Entity Administration form when they are first accepted into the JBIC. This form is also used to update the Global Engagement Office with any changes to your Entity (such as staff updates). Complete the form and return to the Global Engagement Office jbic@adelaide.edu.au, we will then inform you once these changes have been made.

NOTE:

· If, for example, you are adding a new staff member you are only required to add the details of that one person, it is not expected that you list your whole team each time.

· On average we request each Entity to re-complete the form in its entirety once a year to ensure that our records are up-to-date.

To assist you with ensuring you have completed all the necessary documents and provided us with everything that we need to get you started with the JBI Collaboration please ensure you go through the checklist thoroughly.

The checklist can be found on the JBIC New Entity Orientation Information & Documents page.

JBIC Activity Matrix

JBIC CLINICAL PARTNERSHIP ENGAGEMENT FORM

TIER 1: DIVERSIFIED CLINICAL PARTNERSHIP

JBIC CLINICAL PARTNERSHIP ENGAGEMENT FORM

TIER 2: JBI ENDORSEMENT

JBIC MENTORSHIP REGISTRATION FORM

Please download and complete this form and return to the global Engagement Office via email jbic@adelaide.edu.au to register for a Tier 1: Diversified Clinical Partnership

Please note: All JBIC Clinical Partner Engagement Forms are to completed and returned to the Global Engagement Office by the 31^st March for it to apply to the current year of reporting. Any Clinical Partner Registration Forms submitted after 31^st March will be set up as Clinical Partners as of 1 January of the following year.

NOTE: Tier 1 Clinical Partnerships do not receive a complimentary access to EBP Database, SUMARI or PACES.

Please download and complete this form and return to the global Engagement Office via email jbic@adelaide.edu.au to register for a Tier 2: JBI ENDORSEMENT

Please note: All JBIC Clinical Partner Engagement Forms are to completed and returned to the Global Engagement Office by the 31^st March for it to apply to the current year of reporting. Any Clinical Partner Registration Forms submitted after 31^st March will be set up as Clinical Partners as of 1 January of the following year.

Mentors must come from a Centre of Excellence and work with their Mentee group/s to complete the JBIC Mentorship Registration form, for further information refer to the JBIC Handbook - JBIC Activity Matrix. Please download the form, complete, and return to the Global Engagement Office via email jbic@adelaide.edu.au

JBIC MATRIX POINTS ALLOCATION FORM

JBIC CENTRE OF EXCELLENCE ANNUAL REVIEW REPORT TEMPLATE

JBIC AFFILIATED GROUP ANNUAL REVIEW REPORT TEMPLATE

Where JBIC Entities work collaboratively on an activity and wish to share the allocation of points for that activity, Entities must complete the JBIC Activity Matrix Points Allocation form. Please download the form, complete, and return to the Global Engagement Office via email jbic@adelaide.edu.au

The Global Engagement Office will send you a personalised Annual Review template at the beginning of each December.

The Annual Review is to be completed annually, note that the Entity is only required to complete the sections clearly labelled in red, ‘To be Completed by the Collaborating Entity’

All other activities clearly labelled as, ‘To be completed by the Global Engagement Office’ these sections are locked for editing and will be completed by the Global Engagement Office.

If you have any questions contact the Global Engagement Office - jbic@adelaide.edu.au

The Global Engagement Office will send you a personalised Annual Review template at the beginning of each December.

The Annual Review is to be completed annually, note that the Entity is only required to complete the sections clearly labelled in red, ‘To be Completed by the Collaborating Entity’

All other activities clearly labelled as, ‘To be completed by the Global Engagement Office’ these sections are locked for editing and will be completed by the Global Engagement Office.

If you have any questions contact the Global Engagement Office - jbic@adelaide.edu.au

Application Forms

AFFILIATED GROUP APPLICATION FORM

HOST A JBI COLLOQUIUM APPLICATION FORM

Email the Global Engagement Office at jbic@adelaide.edu.au for an application form. Prior to requesting the form please ensure that you have familiarised yourself with the JBI Collaboration Handbook as this outlines the terms and conditions of becoming an Affiliated Group. If you have any questions feel free to email them to us, we are happy to help.

Following the call for applications from the Global Engagement Office to Host a JBI Colloquium, any JBI Centre of Excellence that is interested in hosting must complete this proposal and submit to the Global Engagement Office by 30 July, two years prior to the proposed Colloquium date.

JBIC Regions

JBIC REGIONAL ANNUAL REPORT TEMPLATE

JBIC REGIONAL OPERATIONAL PLAN

The JBIC Regional Annual Report must be completed by JBIC Regional Chair and submitted by 31 January each year. Remuneration for Regional Chairs is dependent upon timely submission of this Report.

The JBIC Regional Operational Plan must be discussed in the regional meetings and submitted by the corresponding Regional Chair by 31 January each year. Remuneration for Regional Chairs is dependent upon timely submission of this Plan.

Clinical Enquiry Requests

EVIDENCE SUMMARY REQUEST FORM

AUDIT CRITERIA REQUEST FORM

A request form for JBI to undertake a JBI Evidence Summary on a desired topic. Must be used in conjunction with the Evidence Summary and Audit Criteria Request Policy

Please download, fill in, save and email form to: jbi_implement@adelaide.edu.au

A request form for JBI to complete JBI PACES Audit Criteria. Must be used in conjunction with the Evidence Summary and Audit Criteria Request Policy

Please download, fill in, save and email form to: jbi_implement@adelaide.edu.au