Experiential Learning Fund – Initial Proposal Form
Contact Information:
Primary Contact Name:
Phone:
Department/College:
Email:
Alignment with Identified Institutional Priorities (check all that apply):
O
O
O
O
O
Undergraduate research
Community-engaged learning
Aboriginal education
Internationalization
Innovative uses of learning technologies
Experiential Learning Opportunity Description:
Title:
Brief Description of proposed activity:
How many undergraduate students do you anticipate will be engaged as part of the proposed
experiential learning project?
Alignment With Program, Department, or College Priorities (briefly describe):
Define Success:
Describe the expected impact on students or the student experience:
Describe a preliminary plan for measuring success:
For details, visit http://www.usask.ca/gmcte/awards/experiential
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Experiential Learning Fund – Initial Proposal Form
Estimate of Anticipated Developmental and Ongoing Costs:
Purpose of Funds (up to $5000 may be authorized based
on pre-proposal only)
Student stipends
Number of students:
Stipend or Wage x Hours per student:
Costs for services from another unit (e.g. ICT, eMAP).
Specify:
Costs (such as travel or site access fees) required to inform
the project
Specify:
Additional costs associated with program evaluation
Specify:
Printing, workbooks or other material costs
Direct costs to the academic unit
Specify:
Other:
(A full budget can be attached if preferred)
TOTAL:
($) Amount
Requested
Dept/College
Commitment
Other funds sought or received to support the project:
Submitted by:
_____________________
Lead Contact Signature
____________________________
Department Head/Dean Signature
Depending on the scope and funding requirements (amounts of more than $5000) of your
project, additional documentation may be required. Projects must be in accordance with
University policies and procedures.
The Experiential Learning fund is not a source of permanent funding for any particular experiential
learning initiative, but successful projects may return to the fund in subsequent years to seek continued
support. Projects are expected to develop plans for long-term sustainability. With an interest to promote
and celebrate successful initiatives we will request a brief report following the completion of the project
and associated pilot activity.
For details, visit http://www.usask.ca/gmcte/awards/experiential
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Experiential Learning Fund – Initial Proposal Form
If you have any questions, contact the Experiential Learning team at University Learning Centre –
experiential_learning@usask.ca
For details, visit http://www.usask.ca/gmcte/awards/experiential
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