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Funding Application

Please complete the form below to request funding for your activity.

* Indicates a required field

* Your Name:

* Your Email & Phone Ext.:

* Total Amount Requested:

* Dept., School, or Unit:

Chair/Dean Name:

* Chair/Dean Approval?
Yes No In Process
(NOTE: Prior approval of your department chair in Arts & Sciences or Dean in the Jepson School of Leadership Studies or the Robins School of Business is required. They will be copied on the outcome of all funding decisions.)

* Rank:

* Application Type
I believe my request would best fit which category:
Course/Curriculum-Focused Funding (Enhancing an individual class, course, or curriculum)
Professional Development (Enhancing your development as a teacher and/or scholar)
Faculty Learning Community

Description of the Request - Describe the plan/event/activity/project/community/program, including relevant dates, locations, course/courses impacted, etc., as appropriate to your request. Provide all the information necessary for a full understanding of your request.:
Character Count - 0/3000

Description of the Intended Outcomes/Impact - Examples: How will this funding impact your professional development? How will it impact a particular class/course/set of courses/department’s curriculum? How will this Faculty Learning Community advance the university’s mission?
Character Count - 0/3000

Total Amount Requested:

Detailed breakdown of anticipated costs:
Character Count - 0/3000

Other sources of funding, either awarded or anticipated:
Character Count - 0/3000

Provide any other relevant information in support of your application:
Character Count - 0/3000

BELOW IS FOR FACULTY LEARNING COMMUNITIES ONLY – ALL OTHERS MAY STOP HERE, SCROLL DOWN, AND CLICK SUBMIT

FLCs ONLY – Describe whether you will be a participant or a coordinator/convener, and list any previous participation in FLCs:
Character Count - 0/3000

FLC Budget Proposal
FLC Title:
Stipends Stipend Amount
FLC coordinators (max 2) @ $1000/coordinator for full AY $1,000
FLC participants (max X) @ $500/participant for full AY $500
Total Stipend:
Non-labor Amount Explanation
Books
Materials
Meals (purpose, max $/participant)
Outside speaker honorarium
Other (provide detail)
Total non-labor expenses
Total Budget