Mini Grant Application form

Your name:

Department:

Title of the innovation activity for which funding is requested:

Course in which you want to innovate (code, name, section(s)):

General Education Learning Outcome(s) that will be fostered (check one or more)

___ Critical Thinking ___Critical Reading ___Written Communication___ Oral Communication ___Scientific Literacy ___ Quantitative Literacy___ Information Literacy

Amount requested: $500 Process documentation, products, analysis of results, lessons learned

$

=======

$ Total

Faculty signature: ___________________________________ Date:

Departmental Support: I have read this proposal and I am supportive of its implementation

Program chair signature ______________________________ Date:

To be filled by CETL

[ ] Approved in full, [ ] Approved ________, [ ] Not approved

Reasons:

Center for Excellence in Teaching and Learning, CETL601 S Martin Luther King Jr. Drive, room 202 O’Kelly Library

Tel. 336 750 8693, Fax 336 750 8690, email: galvisal@wssu.edu

APPLICATION DETAILS

1. Educational needs that would drive the innovation:

2. Educational goals that would drive the innovation:

3. Proposed intervention (what would you want to do in response to above mentioned needs and goals?):

4. Resources, or technologies, required to implement the educational innovation, with costs (up to $500):

Send your proposal to CETL, room 202, Attn. Dr. Alvaro Galvis, not later than September 20, 2010, end of business day.

Center for Excellence in Teaching and Learning, CETL601 S Martin Luther King Jr. Drive, room 202 O’Kelly Library

Tel. 336 750 8693, Fax 336 750 8690, email: galvisal@wssu.edu