Application to Propose a Community of Practice (CoP)
[Insert CoP Topic Title Here]
Telephone Number:
Complete if you are applying to propose and/or facilitate a NTLC CoP:
[Insert a “statement of intent,” written by the proposer/facilitator. Include Goal, Member
Activities, Desired Outcomes, What Participants are Expected to Produce, Method of
Evaluation/Assessment, and Dissemination Plan.]
[Sample Statement of Intent: The goal of this faculty CoP is to create collaborative and engaging online
learning experiences. Members will research and discuss best practices relating to online teaching and
learning. Each member will create an online learning experience to be utilized in a face-to-face course he
or she currently teaches. Members will select an instructional problem or content area and develop an
online learning experience to address it. Assessment assistance will be provided. Members will be asked
to reflect critically on both the development and the implementation of their online learning experience
and share their reflection and results with the University community.]
Answer the following questions with one to two paragraphs; please limit your answers to
two pages.
1. Explain why you want to lead this group and your previous experience in directing other
2. In what ways do you think that this experience will benefit you as a teacher, other
colleagues, and even students? How will it support faculty development on our campus?
3. If this CoP is course-focused, indicate a course(s) and topic you would like to try it out
[Topic of CoP] in and describe what you want your faculty participants to take away
from the discussion/research experience.
4. Since some participants struggle with effectively assessing student learning and project
outcomes, provide a brief overview of your experience with [Topic of CoP] assessment
(it is okay to note if you are not familiar with [Topic of CoP] assessment measures).
5. Describe your comfort, enthusiasm and plans regarding encouraging other colleagues to
engage in [Topic of CoP].
Nakatani Teaching and Learning Center  UW-Stout  301 Millennium Hall  715-232-5196
Members of a CoP are expected to:
1. meet at least twice a month throughout the fall and spring semesters,
assess their work and their students’ learning outcomes for the CoP,
3. present at the NTLC MayDay Celebration held in May; they are encouraged to share
their results in other venues as well.
Upon completing the CoP, participants will receive a financial incentive and a recognition
letter addressed to their dean and chair.
Once this application is completed, please send it in an electronic format to Renee
Howarton. Thank you for completing this form.
Form Adapted from Miami University, Revised June 2013
Nakatani Teaching and Learning Center  UW-Stout  301 Millennium Hall  715-232-5196