Dr. Joseph T Cipfl Workshop Grant Application Form
2015
Dr. Joseph T Cipfl Workshop Grant Application Information
-The Illinois Community College Faculty Association (ICCFA) awards up to four $2,500 grants,
named after Dr. Joseph T Cipfl, for Faculty Workshops or Faculty Research Projects for the
2015-2016 academic year. This is the application form for the workshop grant.
-Both full-time faculty and part-time faculty are eligible for grant awards.
-Applications must be submitted no later than midnight, Friday, April 10, 2015, please email to
Hong Fei, ICCFA Grants Coordinator, Heartland Community College, Normal, at
<hong.fei@heartland.edu>. Please put in subject line: ICCFA grant application. Late
applications are not considered.
-Through email, Fei will acknowledge all emailed applications. If you do not receive a timely
acknowledgment, please call Fei at 309-212-0455 so your application can be found and
affirmed.
-The ICCFA Executive Committee will start reviewing grant applications on April 17, 2015.
-Grant winners will be notified soon after the committee meeting on April 17.
-The workshop must be carried out between June 1, 2015, and October 1, 2016.
-The grant funds may be disbursed as early as June 1, 2015, to support summer 2015 projects.
-Applicants must answer the Application Form prompts in the order provided.
-Recipients of the grants will be recognized at the annual ICCFA Teaching and Learning
Excellence Conference in Springfield.
-Each recipient of a Faculty Research Grant or Faculty Workshop Grant must present at the
Annual Teaching and Learning Excellence Conference. The date for the 2015 Conference is
October 29-30. The date for the 2016 Conference has not yet been determined. Failure to
present at either the 2015 or 2016 conference will require reimbursement of the grant funds,
as stipulated here.
- A proposal to present at the Conference must be submitted. Proposals for the October 2015
Conference are due June 1, 2015. Proposals for the October 2016 Conference are due June 1,
2016. Please visit http://www.iccfa.org/ for more information.
2015 Dr. Joseph T Cipfl Workshop Grant Application
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Dr. Joseph T Cipfl Workshop Grant Application Form
2015
Please complete the following prompts.
Title of the Faculty Workshop
______________________________________________________________________________________
______________________________________________________________________________________
Date of Emailed Submission (Late Applications Not Considered)___________________________________
Lead Organizer for the Faculty Workshop
Name ____________________________________________________________________
Title______________________________________________________________________
Institution_________________________________________________________________
Complete Post Office Address for Institution__________________________________________________
______________________________________________________________________________________
Email address_________________________ Summer Email If Different____________________________
Telephone____________________________ Summer Telephone If Different________________________
Named recipient of grant funds on the check, according to your institution’s guidelines________________
______________________________________________________________________________________
To What Address is the Check to be Mailed ___________________________________________________
_______________________________________________________________________________________
If other faculty members are involved in the workshop, list them as follows (add additional application lines
as needed):
Faculty Member Two
Name _________________________________________________________________
Title___________________________________________________________________
Institution____________________________________________________________________
Complete Post Office Address for Institution___________________________________________________
_______________________________________________________________________________________
Email address_____________________________ Summer Email If Different_________________________
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Dr. Joseph T Cipfl Workshop Grant Application Form
2015
Telephone________________________________ Summer Telephone If Different____________________
Faculty Member Three
Name ___________________________________________________________________________
Title_____________________________________________________________________________
Institution________________________________________________________________________
Complete Post Office Address for Institution_________________________________________________
_____________________________________________________________________________________
Email address_____________________________ Summer Email If Different_______________________
Telephone_______________________________ Summer Telephone If Different____________________
Faculty Member Four
Name ___________________________________________________________________________
Title_____________________________________________________________________________
Institution_____________________________________________________________________________
Complete Post Office Address for Institution__________________________________________________
______________________________________________________________________________________
Email address_____________________________ Summer Email If Different________________________
Telephone_______________________________ Summer Telephone If Different_____________________
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Dr. Joseph T Cipfl Workshop Grant Application Form
2015
Describe the target faculty audience for the Workshop:
Describe how the purpose of the Workshop meets an institutional, inter-institutional, or regional need.
Describe how the Workshop will be promoted among its target audience.
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Dr. Joseph T Cipfl Workshop Grant Application Form
2015
Describe the Workshop in terms of its activities, their goals, and their duration.
When and where will the Workshop take place?
How will the Workshop be assessed?
How will information from the Workshop be disseminated to members of the target audience who did not
attend?
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Dr. Joseph T Cipfl Workshop Grant Application Form
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Describe the preparation that the presenters for the Workshop will do.
Itemize how the grant funds will be used. For example, Stipend (number of hours of preparation by
presenter @ $25/hour, Stipends for Attendees (20 Attendees @ 50), Travel (Mileage for attendees 20 @ 50
miles), Lodging for presenter (2 nights @ $100), Meals for presented (3 @ $30 or lunch provided during
Workshop 20 @ 10), Printing or copying attendee materials ($200), Purchase of Books or Documents (List),
and so forth. The budget for this grant is not to include travel expenses for grant recipients to the ICCFA
Conference at which you will present your session on your workshop. Instead, complete the Request for Travel
Funds below.
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Dr. Joseph T Cipfl Workshop Grant Application Form
2015
Request for Travel Support to the 2015 or 2016 ICCFA Conference. You will have one night free of charge at
the Crown Plaza Hotel in Springfield, where the conference is held. Your meals are included in your conference
registration fee, which is waived.
I (we) request support for the mileage (round trip) of _______________ miles because the mileage will not
be provided by my (our) college.
If awarded this grant, I (we) agree to present at the Annual Illinois Community College Faculty Association
Conference in 2015 or in 2016. Failure to present, other than for personal emergency, will require the grant
winners to reimburse the grant award as stipulated here.
Signatures of all applicants
_______________________________________________________________________
Additional questions? Please refer them to
Hong Fei, Ph.D.
ICCFA Grants Coordinator
Adjunct Instructor, STEM & Business Division
Heartland Community College
1500 West Raab Road, Normal, IL 61761
(309) 212-0455
hong.fei@heartland.edu
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