First Name: / Last Name:
Section A – Project Information
Location
Organization
Start and end dates
(Minimum 10 weeks)
Organization contact / Website:
Supervisor’s name:
Phone: / E-mail:
Is this proposal tentative or definite?
Section B – Past and Future Project Information
Summer projects / Year / Organization and location / Brief description
Enterprise
Public Policy
Personal and Community Development

Detailed Questions

Section C – Basic Information (whatwhere)
  1. Outline the project you will be undertaking to the greatest degree possible.

  1. Describe your host organization. What is its mission statement or mandate? (Scholars who are studying: Will you be studying at a university or at a private language academy?)

  1. What qualifies this as a Personal and Community Development project? See the summer program guidelines if needed.

4a.Scholars who are volunteering or interning: What will be your typical daily tasks?
4b.Scholars who are studying: How many students are assigned per class? Are field trips included in your study program? If you’re pursuing language training, how many levels are offered at this particular institution?
  1. How many hours will you spend working or in class per week?

  1. What will you do when you are not working / studying?

Section D – Motivation and Your Search (why & how)
  1. How did you find this opportunity?

  1. Describe the application process. When will you know if you have been accepted?

  1. Why have you chosen this organization as opposed to others you researched?

  1. Why have you chosen this region of Canada?

  1. What motivates you to pursue this project?

  1. What are your objectives and learning goals? What do you hope to learn from this experience and from the people you will meet (skills, knowledge, cultural understanding, etc.)? How do you plan to remain focused on these goals?

Section E – Support and Mentorship
  1. How will your host organization provide support once your project is underway? Will you have a mentor within the organization?

  1. How will your host organization provide support to help you to prepare for your project?

  1. Who will be your supervisor? Who will you be working with (i.e. other volunteers, with the staff in a given department or division, etc.)?

  1. Where will you live during your project?

  1. Will you receive a wage or university credit for this project? What is the wage?

Section F – Preparation
  1. Describe the steps are you taking to learn about the general historical, economic, cultural, and political context of the region you are travelling to.

  1. Describe the steps you are taking to learn about the issues that relate specifically to the work or studies you will be undertaking. What are these issues?

Section G – Ethics and Reciprocity
  1. What kind of contribution do you hope to make? What skills/knowledge can you offer to this particular project?

  1. How will you share your experiences with others during and after your project? (E.g. Blog, photo blog, podcasting, music, letter writing, presentations, academic writing and research, art, newspaper articles, etc.)

Project Budget

Before completing your budget, please make sure to read the Frequently Asked Questions pertaining to budgets in the summer section of connexion.loranscholar.ca to avoid common mistakes.*Even if you’re not requesting Loran summer funding, you are encouraged to make a budget to detail how the host organization will support you.

Living Expenses
Accommodations (rent and basic utilities): / + / $
Per diem (max $150/week): / + / $
Program fees (if applicable): / + / $
LIVING EXPENSES TOTAL: / = / $
Stipend / wages provided by host: / - / $
A) NET LIVING EXPENSES (Living expenses minus wages): / = / $
Travel Expenses
B) Air or train fare to internship or job location: / = / $
Scholar contributions
Scholars are expected to fundraise or contribute at least 15% of total cost of the project. Please list the source(s) of your contribution (fundraising, parents, savings, etc.):
C) TOTAL CONTRIBUTION: / = / $
Amount Requested
Net living expenses plus Total travel expensesminusTotal contribution
( A + B – C ) / = / $
Amount Requested: / $
If the first amount is different from the second, please explain:

Please return this form to Jesse Barke by e-mail to mailto:

Loran Scholars FoundationPage 1 of 4