CITL Innovative Writing Instruction Awards
Application Form
Application Deadline: Extended to April 13, 2012
Applicant's Name:
Username:
Department:
Campus Address:
Please answer the following questions for each course related to your application.
1. What is the course curricular designation, course number, and name (e.g. GEOG G107 Physical Systems of the Environment):
2. When was this course taught previously at IU?
3. When will you next teach the course?
4. How many students usually enroll in each section of the course(s)?
5. Does the course fulfill a university, school, or departmental requirement?
6. Did you consult with any CITL or other instructional consultants on this course design? Please provide consultant names and office.
Complete applications will include the following:
? Completed application form
? Statement of learning outcomes
? Description/demonstration of innovation or intervention
? Artifacts of students learning (writing samples, links to websites, etc.)
? Reflective statement that describes the development of the innovation, success to date, and any plans for future revisions
? Letter of support from department chair or dean
? Copy of your curriculum vitae
Electronic copies of this application form can be found at
iana.edu/programs/writing/IWIAward.php
Please return completed form and portfolio (with attachments) to . If you have questions about the CITL Innovative Writing Instruction Awards or the application procedure, please contact the CITL Writing Program office at or 855-4928.