Foundation Institutional Grants

APPLICATION FORM

Proposal Deadline

Grants due January 27, 2014

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Instructions:

Please address the following questions in your institutional grant request. The format outlined should be followed in the preparation of your proposal. The number of pages is not to exceed those indicated in parenthesis. If you need assistance, please call Page Wolf in the Professional Development Center (x2446).

Proposals must be double-spaced typewritten.

Please use the form fields on the pages below to type your application, save it, and return the completed copy electronically to Pat McAnally, secretary of the Professional Development Center, at . Please save in PDF format if possible!

Title Page

Application Date:

Title of the proposed project:

Name of applicant(s):

Department(s) of applicant(s):

Phone extension(s) of applicant(s):

Supplemental materials will be included (yes/no):

Partial funding is okay (yes/no):

Departmental Support

Please have your direct supervisor (Director, Dean, etc.) email a letter of support of your project. This letter should indicate that the project has support and that all other internal funding opportunities have been pursued. Please list the source and amount of funding (see p. 7). If you are requesting release time, overload pay, or a stipend, a letter from an appropriate administrator needs to be submitted as well.

Support letters should be emailed care of the Professional Growth Commission to and addressed to the CLC Foundation Grants & Scholarship Committee.

Letter(s) of support will be coming from:


Project Abstract (one page)

Title of proposed project:

What CLC goals and objectives are being addressed (please restate each goal/objective):

Amount of requested funds:

Starting date of project:

Completion date of project:

Summary of project (50 to 100 words):


Project Narrative (six pages maximum)

PROJECT NEED

Why should this project be undertaken?

Describe the underlying issue, problem, or question to be addressed by this project:

What is the significance of this issue, problem, or question?

What current efforts are being made in this area and how effective have they been?

SPECIFIC FOCUS

What are the disciplines or subject areas, groups of students, faculty or employee groups, areas of the CLC operations, etc. that will be the focus of this project?

SPECIFIC GOAL(S) OF PROJECT

What is the basic outcome which this project will attempt to achieve?

PROJECT IMPLEMENTATION AND TIMETABLE

Describe the specific sequence of activities that will be carried out during the grant period and the implementation timetable for the project activities.

Project Personnel

List all persons who will work on this project. For each person, indicate what role he/she will fill on the project.

Impact:

a. Short-term Impact - During the period of funding, how many people will be affected by this project and what benefits will they derive from it?

b. Long-term Impact - If it is successful, how might this project affect the college, its operations, its students, and/or its personnel over the next 2-3 years? How might what is learned from this project be more broadly applied? Do you foresee any future "spinoffs" of this project?

c. Personal Impact - What do you personally expect to learn from your involvement in this project, and how will that knowledge impact your professional competency, job satisfaction, etc.?


Evaluation Plan (one page)

How will you be able to determine whether or not this project is successful? Describe the information you plan to collect which will enable you to verify the degree to which the project has met its goals and objectives.


Budget

For each type of expense, describe in detail what you need, and how much it will cost. Provide the calculations you used to arrive at the cost. Also, please describe how funds will be used for the complete project.

Personnel

Examples: release time for project director to oversee project, @ $$ per hour x N hours (mandatory for release time requests)

N student workers needed for X work on project, each @ $$ per hour x N hours per week x N weeks

Travel (should be used primarily for local travel by staff on project business, or student travel necessary for project, say a field trip)

Example: local travel via auto for project director to schools, @ .55 cents per mile x N miles per week x N weeks

Equipment (any durable item needed for project, unit cost $5,000 and up)

Example: 2 automatic book check-out machines for the Library to increase efficiency and reduce lines, @ $5,000 each = $10,000

Supplies (any expendable item needed for project, unit cost less than $5,000. This may include low-cost laptops, printers, tablets, etc. – although their use should be justified for the project and some means of inventorying and tracking them should be given.)

Examples: Printing/Reproduction, @ .10 per page X N pages

Teaching materials needed for class involved in project (books, software, samples, artwork, what have you), @ $$ per material X N materials of the type

15 Google Nexus 7 tablets for innovative pedagogical approach in Class Z @ $249 each = $3,735 (tablets to be inventoried on arrival and kept locked in departmental cabinet outside of class time)

Contractual Services (any payment to be made to any individual or firm external to the college, but whose expertise or resources are needed to complete the project)

Example: Expert Educational Evaluator to collect and analyze data on project’s progress and success as defined in proposal, @ $200 per hour x 20 hours = $4,000

Other (anything not falling into the categories above, but justifiable as essential to the project)

Category / Amount, justification, how derived
Personnel
Travel
Equipment
Supplies
Contractual Services
Other
Totals

CLC Budget Impact

Provide a brief summary of the impact on existing college resources: what will need to be used in order to complete the project, in addition to the funds being provided by the grant (additional personnel, space, equipment, etc.). Indicate the sources of this support.

Example: 5 more Google Nexus 7 tablets are needed for project staff; the department will purchase them out of its own funds

Category / Impact / Source
Personnel
Travel
Equipment
Supplies
Contractual Services
Other

NOTE: This portion is to be reviewed by the Dean of the area, and noted in their support memo. Also, please list any additional college support required and include a separate agreement from that support organization.

Miscellaneous Expenses

Please describe any other miscellaneous expenses here. (NOTE: Meals are not generally supported; travel may be funded at the discretion of the committee. Please refer to the grant Information Sheet for other items not covered by this grant.)

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