Summer Academy Proposals Submission

Required Documentation Templates

Academy Title *

Institution Name *

Academy End Date *

Month

Day

Year

Academy Start Date *

Month

Day

Year

Total Amount Requested *

Academy Type *

Academy Director

First Name *

Last Name *

Department *

Phone *

Email *

Programmatic Information

Please provide a brief narrative (3 pages maximum) that includes:

Brief program description and program goals.
Identification of the targeted population and planned recruitment efforts.
Plans to assess the impact of the program including:
1. Quantitative measures used to assess student outcomes (please provide name of assessment, if possible)?
2. Qualitative measures used to assess student outcomes (e.g. student surveys, exit interviews, etc.)?
3. If applicable, plans to track student progress after the program (e.g. matriculation, etc.)

Brief Narrative *

How many years has this Academy been funded? *

What is the maximum number of participants accepted into the Academy? *

Will all attendees be first time attendees? *

Yes

How many repeaters will be allowed in the program?

Required Documentation

Budget Breakdown *

Files must be less than 2 MB.
Allowed file types: pdf doc docx xls xlsx.

Signature Sheet *

Files must be less than 2 MB.
Allowed file types: pdf doc docx.

Leave this field blank