Budget Template Can Be Found Here

Program Support Resources: Advancing Academic- Clinical Excellence and Partnership

GHSP Micro Award Application
Overview
Description/Purpose: Small items that will support the educational enterprise including clinical instruction; examples include but are not limited to books, handouts, and opportunities for professional development.These items should benefit the students and/or academic/clinical teaching setting.
Funding range: ≤ $500 each per volunteer and per counterpart per year.
Requirements: Must be tied to a clear and direct need.
Restrictions: Not to exceed $500 per volunteer or counterpart per year.
Timeline: applications close March 1, 2017
MicroAward templatescan be accessed directly from the links below:
•Micro Award Application Template (This is a Word document of the application that can be downloaded for drafting purposes only. Final proposal must be submitted online)
•Budget Template(Download this document to provide details about the budget. This document must be uploaded as part of the application.)
We look forward to reading your submissions!
Application title:
Submitter: Name
Submitter: Title
GHSP Program Role:
Academic Institution:
Country:
Specialty:
What will this funding be used for?
How does this request link to an educational need?
Is this request part of a larger project? If yes, please describe.
What amount are you requesting?

Budget

Please complete the Micro Award Detailed Budget Template found at the link below. Be sure to include all costs for which you are requesting support. Feel free to add rows as necessary.

Budget template can be found here:

Exchange rate calculator:

Total budget request (USD)
If your budget includes items that will require shipping and/or delivery (domestic or international), what is your plan to get these goods to your site? [Please note: any costs associated with shipping, customs clearance and delivery must be included in your detailed budget.]

DO NO HARM

In consultation with the implementation team, target population, project stakeholders, local colleagues, and institutional leadership:

What are the possible unintended harmful effects or costs (social, economic or environmental) that your request might have in the short or long term?
What measures are being put in place to mitigate those unintended effects?

☐ I acknowledge that I have discussed this project and have the support of my department for this submission.