Community-Based Learning Course Development Grant Application
Center for Creating Engaged Learning Environments:
Community-Based Learning Course Development
GrantApplication
Please complete this form if you intend to apply for a Community-Based Learning Course Development Grant. Please refer to the Call for Proposals for more information on definitions of Community-Based Learning and to review the guidelines for proposal submissions.
- Basic Information
- Faculty Name(s): ______
- School/College and Department (if applicable): ______
- Select one:
Developing a new Community-Based Learning (CBL) course
Draft Course Title: ______
Integrating a CBL component into an existing course.
Course number and title: ______
- Proposed course to be first offered (with CBL Component):
Semester: ______Year:______
Note: If you intend to offer your course in Fall 2012, make sure to discuss this with your department chair at the time of course scheduling.
- Frequency of Course Offering (e.g., once per academic year): ______
- What requirements (if any) does/will the course fulfill in a major or minor program?
______
- What other requirements (if any) does/will the course fulfill in the General Education Program? Or, if the course will be proposed for another GE requirement, please indicate which requirement (e.g., a Level II requirement such as Natural Science or Social Science).
______
- Number of course sections offered: ______
- Enrollment Ceiling: ______
- Type of CBL (if known, please check one; if not, leave blank):
Community-Based Learning Course Development Grant Application
□Service-learning
□Internship
□Student teaching
□Clinical Experience
Community-Based Learning Course Development Grant Application
- Course Description
Note: We do not expect faculty to have all the details of the proposed CBL course developed yet, but rather to provide some basic course information and commit to participating in a structured process to develop and teach the proposed course.
Please limit your response to a total of no more than2 pages (double-spaced, 12-point font).
- In 3-5 sentences, describe the proposed course.
- What is your rationale for incorporating Community-Based Learning into this specific course?
- How willusing Community-Based Learning in this course enhance:
- students’ academic learning outcomes?
- the engagement and retention of SXU students?
- SXU’s goal of educating students to “serve wisely and compassionately in support of human dignity and the common good?”
- Give examples of the CBL experiences in which you would like students to engage (e.g., service at a non-profit organization, internship, a research project designed to benefit a community organization, or an opportunity to gain experience with a particular topic/issue). If known, briefly describe potential community partner organization(s).
- Are you amenable to participating in a structured process related to developing and teaching a CBL course? Aspects of the process may include a pedagogical workshop, feedback on draft syllabi, risk management training, etc.
Community-Based Learning Course Development Grant Application
___ Yes
___ No
Community-Based Learning Course Development Grant Application
Please submit completed application by Tuesday, December 20, 2011 at 4:00 pm.
There are two steps to the application submission process:
- Completed Application (with the exception of Signatures page) should be submitted to Sara Gibbs, Community-Based Learning Coordinator, at .
- Completed Signatures page should be turned in to the CELE / Title III office in Warde A-209.
Questions may be directed to Sara Gibbs, Community-Based Learning Coordinator, at (773) 341-5889 or .
Signatures
Faculty/Course Developer(s):
Name:______
Signature: ______Date: ______
Name:______
Signature: ______Date: ______
Department Chair (if applicable):
I support the development of the proposed course and agree that it is a good fit with our department.
____ I support this proposed course.
____ I support this proposed course but with the reservations noted below.
____ I do not support this proposed course due to the reasons noted below.
Notes:
Name:______
Signature: ______Date: ______
Dean:
I support the development of the proposed course and agree that it is a good fit with our School/College.
____ I support this proposed course.
____ I support this proposed course but with the reservations noted below.
____ I do not support this proposed course due to the reasons noted below.
Notes:
Name:______
Signature: ______Date: ______