Application for: SMALL CAMPUS RESEARCH GRANT

Please print out, complete and submit the following information to the Chairperson of the Faculty Professional Development Committee at any time during the academic year prior to the deadline.

NAME ___________________________________________  PHONE ___________________________  DATE  _____________

DEPARTMENT ___________________________________________  AMOUNT REQUESTED ____________________

 PREVIOUS FUNDING FOR THIS PROJECT (if any):

SPONSOR ________________________________________________________________  AMOUNT  _____________________ 
 
APPLICATION REQUIREMENTS: 
Click here to read additional guidelines.  Attach a one-page statement (in non-technical language) explaining 
how the funding you are requesting will be used in the project (with specific breakdowns of proposed expenditures).  The following sections must be included in the grant proposal:

1.   Cover Sheet  (use this form please)  The Department Chair’s endorsement must be obtained prior to submission to the Faculty Professional Development Committee.
2. Project Proposal  (no longer than one page)
a.   Description of project.
b.   Faculty Professional Development Outcomes
c.   Budget Explanation (including a detailed explanation of all budget items requested and their use in the project, if not previously discussed). Limit $500.
3. Project budget  (breakdown items by category)

DEPARTMENT CHAIRPERSON'S ENDORSEMENT:  Please comment upon the attached project and funding request and specifically address the project's contribution to the faculty member's professional development, to the department and/or the university.

SIGNATURES:

Department Chair ______________________________________________     Recommended    ____ Y      ___ N

FPD Committee Chair ___________________________________________     Recommended    ____ Y      ___ N

V P, Academic Affairs __________________________________________      Recommended    ____ Y      ___ N

                                                                                                                                                Amount  $ _____________