Application for Interprofessional Education Project Funding The strategic vision of the Office for the Advancement of Interprofessional Education, Research and Practice is to: Create within CHHS an integrated, collaborative learning system across the health and related professions that connects disciplines, promotes teamwork, fosters mutual understanding, strengthens research, and advances health for individuals and populations. To apply for funding for a student-centered IPE project, follow the directions below. Consideration will be given to those projects that: Provides joint learning opportunities for students from at least two CHHS programs Connect education, research and practice Expand and diversify service learning and collaborative practice opportunities for students Focus on community-based preventative services and social determinants of health Integrate IPE into existing curriculum structures Name of IPE Project ____________________________________________________________________________________________________ Name of Project Director ______________________________________________________________________________________________ Affiliated CHHS Program ______________________________________________________________________________________________ Requested Amount: ☐ <$2,500 ☐ $2,500-$4,999 ☐ $5,000-$7,500 Submission Date ________________________________ Include the following on an attached document: 1. Names of collaborating colleagues and their affiliated CHHS programs 2. A 3-5 page detailed summary of the proposed IPE project. The following section headings should be used: rationale/introduction, goals, student learning outcomes, participating CHHS programs, timeline, evaluation plan, dissemination plan, role of each faculty/staff participant, and location (If the IPE activity/project is taking place off campus, please include evidence that permission to use the facility has been granted.) 3. A detailed budget with estimated costs 4. A memo of support from the School Director(s) affiliated with the project directors. Please Note: 1. Please submit the application and supporting documents electronically to Chris Karshin (ckarshin@emich.edu). 2. Members of the IPE Steering Committee will review the applications. 3. Depending on the structure of the proposed evaluation plan, the Project Director may need to submit an application to the Human Subjects Committee. Funds will not be released until IRB approval is secured. 4. If you have any questions or need assistance, contact Chris Karshin or Dan Burns. 5. A forum will be provided for you to present your projects/findings to the Steering Committee. Due Date: February 12, 2016