Student Equity Steering Committee
PROPOSAL SUBMISSION
Deadline June 30
Title of Project: ________________________________________________________________________________
Name of person submitting proposal: ______________________________________________________________
E-mail:_______________________________________________________________________________________
Area/Department/School: _______________________________________________________________________
Date Submitted: _______________________________________________________________________________
Immediate Manager/Department Head name: ______________________________________________________
(please print)
Immediate Manager/Department Head signature: ___________________________________________________
Date: ___________________________________________________
Please check the correct box:
 New submission
 Revise and resubmit
In order to be considered for funding, please respond completely to all six items below. Please note that these
items are aligned by number with the Project Rating Rubric that the Student Success Committee will use to rank
projects (See Proposal Rating Rubric in Call for Proposals). Proposal submissions should be no more than four
pages including this cover sheet. If other departments or divisions are impacted by this project, please provide
evidence of department and/or division support (e.g., email from department head or manager, meeting
minutes).
Proposals are due to Reauna Wong (rwong@lbcc.edu; mail code Y21) in the School of Student Success no later
than 4 p.m. on Tuesday, June 30, 2015. Proposals received after 4 p.m. will not be considered for this round of
proposal funding but will be held for future funding rounds. Please provide both an electronic copy and an
original copy with the required signatures. If you have any questions, contact: Karen Rothstein
(krothstein@lbcc.edu, ext. 4113) or Shauna Hagemann (shageman@lbcc.edu, ext. 4830)
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1. Project Description: Briefly describe the project. Include the student equity goal(s) that will be addressed and the
specific group(s) being served. For details on student equity goals, please see the Student Equity plan at:
http://www.lbcc.edu/Planning/documents/Student_Equity_Plan_submitted_to_Chancellor_Office_120114.pdf
Please include data from the college’s disproportionate impact study that demonstrate the need for this project
(See Disproportionate Impact Matrix in Call for Proposals).
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2. Measure of success/Evaluation Plan: Please explain how the success of this project will be measured.
Include possible outcomes, data sources, and assessment techniques.
3. Number of students/staff/faculty served: Please include an estimate of the number of students/faculty/staff
who will be served or impacted specifically by this project.
4. Scale of the project: Describe the potential of this project to impact larger numbers of students if brought to
scale or institutionalized. Be as specific as possible as to the number of students who could be impacted.
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5. Preliminary budget: Describe the budget needed to support the project. Please provide an estimated range
for the cost for each budget category. For stipends, reassigned time, and faculty hourly pay, please provide
the estimated number of hours of work as well as cost.
Category
Stipends
Faculty hourly pay
Reassigned time
Supplies/materials
Conference/travel specifically required for this project
On-site professional development
Other
Total
Estimated Cost Range
Estimated number
of hours
$55 per hour
NA
NA
NA
NA
NA
6. Duration: Please provide a detailed timeline for the project, including start date, dates for data collection
to inform the project evaluation, and an end date. If multiple phases are proposed, the completion date
for each phase should be included.
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