Faculty Development Support Grant Application

Sunday, Nov. 22, 2009

Faculty Development Support Grant Application

Applicant Information
Name:

Campus Phone:

Home Phone:

Cell Phone:

Current Address:

City:

State

Zip

Employment Information
Department

College

E-mail

Fax

Personal Website (URL)

Activities and Location
Activity and Location

Dates of Activity

Please briefly address the following questions in the space provided:
1. Concisely describe the proposed activity and how it will lead to the improvement of instruction and/or course content.

2. Concisely describe the benefits of the proposed activity (e.g. enhanced knowledge in your area of expertise, increased cultural awareness, etc.).

3. Concisely describe how the knowledge or skills learned as a result of the activity will be disseminated to the campus community.

Proposal Cost
Please provide a cost estimate for the proposed activity.

Title (Eg. Dr., Ms. etc.)

*** Important: Only completed applications submitted by the due date, Friday, February 5, 2010 at 12:00noon. *** In order to ensure that your form is processed, please make sure that you enter the correct information. You must press the Submit Responses button after filling in the appropriate fields. If you experience any difficulties using this form please contact the Faculty Development Office (217-581-7051).

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