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.

  1. Basic Information
  1. Faculty Name(s): ______
  1. School/College and Department (if applicable): ______
  1. 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: ______

  1. 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.

  1. Frequency of Course Offering (e.g., once per academic year): ______
  1. What requirements (if any) does/will the course fulfill in a major or minor program?

______

  1. 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).

______

  1. Number of course sections offered: ______
  1. Enrollment Ceiling: ______
  1. 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

  1. 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).

  1. In 3-5 sentences, describe the proposed course.
  1. What is your rationale for incorporating Community-Based Learning into this specific course?
  1. How willusing Community-Based Learning in this course enhance:
  2. students’ academic learning outcomes?
  3. the engagement and retention of SXU students?
  4. SXU’s goal of educating students to “serve wisely and compassionately in support of human dignity and the common good?”
  1. 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).
  1. 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:

  1. Completed Application (with the exception of Signatures page) should be submitted to Sara Gibbs, Community-Based Learning Coordinator, at .
  1. 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: ______