Course Development Grant Application

    Cover Sheet

1.    Name:

2.    Date:            3.  Department:    


Please circle one:
4.    Position:  Professor      Associate        Assistant         1-3 Yr. Appt.          Adjunct              Administrator
 
5.    Title of Project:

6:    Abstract of proposed work  (please limit to space provided):











 


 
7.    Total Budget for the Project:    
a.  Amount requested from committee:
b.  Amount committed from department funds:
c.    Name source and amount of any additional funds which have been (or could be obtained):


8.    What is the impetus for this proposal?  10.  Will you be using human subjects?  ___ Yes ___ No
        10 (b)  If yes have you consulted with the Asst. Provost?  ___Yes___No
____    professional development    
_____research    11. Will you be using vertebrate animals?     ___ Yes ___ No
____    curricular development    11(b)  If yes have you consulted with the Asst. Provost?  ___Yes___No        

9.  Time  frame for this project (does not need to be specific, e.g., academic year)?  _____________

 
12.    Will you be using student assistants?    ____    Yes    ____    No
Will you be using student interns?        ____    Yes    ____    No

13.  Expected number of hours and rate of pay:  ____________                __________________
__________________________________________________________________________________
 


  14.    List past history of applications to and the amount of funding from this committee and give a brief summary of the results of funded projects (new courses, changes to course syllabi, publications, presentations, or administrative competencies).






































 



Please attach a brief narrative describing the project and a detailed budget to supplement            information given in #6-11, above.


KMC/shm
1/17/06