Beaumont Faculty Development Fund

BEAUMONT FACULTY DEVELOPMENT FUND

Application for Support Cover Page

1.  Name(s) ______Banner ID ______

2.  Department ______

Campus Address (Bldg.) ______Room ______

Campus Phone ______e-mail address ______

3.  Project Title ______

______

4.  Dollar Amount Requested ______

5.  Desired Begin Date ______End Date ______

6.  Specific BFDF objective(s) to be addressed by this proposal ______

______

7.  Have you received a BFDF award for any purpose in the past five years? ( ) Yes ( ) No

8.  Does this project involve: Human Subjects ( ) Yes ( ) No

Use of Animals ( ) Yes ( ) No

Biohazards ( ) Yes ( ) No

Isotopes ( ) Yes ( ) No

If YES to any of the above, include in your application the approval certification of the corresponding review committee or individual, or indicate date submitted to the appropriate committee for review. (NOTE: Research may not begin until this approval is received.)

9.  Signatures: Applicant ______

Department Chair ______

School or College Dean ______

Abstract

Narrative

Background/Need and Significance

Objectives

Methodology

Expected Outcomes

Dissemination Plan for Results (for research applications)–OR–Continuation Plan after the Award Period Ends (for curriculum or professional development applications)

Student Benefit – If student labor is proposed, explain how the student(s) will contribute to the project and benefit from working with the PD/PI.

Literature Cited

Budget and Justification

Item / Cost
Total Requested from the Beaumont Faculty Development Fund:

Justification

Curriculum Vita/Biosketch

Current/Pending Support

Active Projects

All fields are required. Include both internal (SLU) and external support. If not applicable, type “None” in the Amount field.

Amount / Project Role / Performance Period / PD/PI Name / Time on Project
[Source of Funding]
[Brief Project Summary]
[Source of Funding]
[Brief Project Summary]
[Source of Funding]
[Brief Project Summary]

Projects Pending Award Determination

All fields are required. Include both internal (SLU) and external support. If not applicable, type “None” in the Amount field.

Amount / Project Role / Performance Period / PD/PI Name / Time on Project
[percentage]
[Source of Funding]
[Brief Project Summary]
[Source of Funding]
[Brief Project Summary]
[Source of Funding]
[Brief Project Summary]

Previous Support from the Beaumont Faculty Development Fund

·  If not applicable, type “None” in the Amount field.

·  If applicable, see Guidelines for additional requirements.

Amount / Project Role / Performance Period / PD/PI Name / Time on Project
[Source of Funding]
[Brief Project Summary]

Beaumont Faculty Development Fund – 2015 Application Package Page 4