International Year Of… (IYO) Support Grant Proposal Template
Application Checklist:
Submit within 10 business days after event/program:
☐Completed Cover Sheet (this page)
☐ IYO Grant Final Report
☐ Project Proposal (next page)
☐ High Quality Photos from Event/Program
☐ IYO Budget Table (page three)
☐ Completed Media Release
☐ Budget Narrative (to be attached separately)
☐PI tax and immigration sign-off, RSO Advisor or Departmental and Dean Approvals (below)
Name of P.I. :
Click here to enter text.
Project/Event Title:
Click here to enter text.
Name of CoP.I.:
Click here to enter text.
Total Amount
Requested from OIP:
Click here to enter text.
Date(s) of
Project/Event:
Click here to enter text.
Expected Time Frame
for Use of Funds:
Click here to enter text.
IMMIGRATION AND TAX REQUIREMENTS
PI acknowledges that he/she has spoken with the following individuals regarding the immigration and tax requirements
should the proposal involve any guests being brought to WKU’s campus and compensated:
 Lauren Ossello, Executive Legal Assistant
 David Lewis, Tax Compliance Accountant
☐ Check the box to indicate having read/completed the above statement
Checking this box serves as an electronic signature of the PI/APPLICANT
SIGNATURES
Electronic signatures are accepted
When submitting the final application, the PI/APPLICANT must copy all signatories on the email or the application will be
considered invalid.
By signing below, I acknowledge my support for proposed project and budget.
DEAN APPROVAL
(For requests over $500)
Sign/type here:
Click here to enter text.__________________________________________________________
Dean’s Signature
Date
☐ Electronic Signature Verification
(Checking the box and typing name serves as verification of the electronic signature)
By signing below, I acknowledge my support for proposed project and budget.
DEPARTMENT APPROVAL
Sign/type here:
Click here to enter text.__________________________________________________________
Department Head’s Signature
Date
☐ Electronic Signature Verification
(Checking the box and typing name serves as verification of the electronic signature)
By signing below, I acknowledge my support for proposed project and budget.
RSO ADVISOR APPROVAL
If applying on behalf of WKU
registered student organization
(RSO), only the RSO’s advisor
signature is required
Sign/type here:
Click here to enter text.__________________________________________________________
RSO Advisor’s Signature
Date
☐ Electronic Signature Verification
(Checking the boxing and typing name serves as verification of the electronic signature)
INTERNATIONAL YEAR OF…SUPPORT GRANT PROJECT PROPOSAL
Part I. IYO Grant Priorities:
1. State clearly how this project will meet any or all of the ten priorities listed in the IYO RFP
1. Click here to enter text.
Part II. Answer the following questions:
1. Please briefly describe your project/event
1. Click here to enter text.
2. What are the objectives/learning outcomes of this program and how will they be assessed?
2. Click here to enter text.
3. Will the event be connected to any academic courses? If so, please list.
3. ☐Yes, Course(s): Click here to enter text.
☐No
4. Who is your target audience(s) and how will they benefit? (Click all that apply)
☐ Students ☐ Faculty ☐ Staff
4. Click here to enter text.
☐ Community
☐ Other, please specify: Click here to enter text.
5. Will your program/event be accessible to WKU’s regional campuses? (See Priority 6)
☐Yes, I will use WKU’s Interactive Video Services to livestream and/or record the event. Click here to learn more
about IVS.
☐ Yes, my program/event will take place at the (please select regional campus) campus.
☐ No. If not, please specify why: Click here to enter text.
☐ Other, please specify. Click here to enter text.
6. Will there be any cost to participate? If so, please explain and justify cost.
☐ Yes, please justify why: Click here to enter text.
☐ No
7. What prior experiences have you had that are likely to contribute to success in this project?
7. Click here to enter text.
8. In what ways are you maximizing the requested funding (e.g., through multiple events? Crosscollege/departmental collaboration?)
8. Click here to enter text.
9. What is your marketing strategy and how many participants do you estimate will attend?
Please review the Event Resource Guide for suggestions.
9. Click here to enter text.
INTERNATIONAL YEAR OF… SUPPORT GRANT BUDGET TABLE
Matching Funds Source(s): List department, college, University, or outside sources of monetary support.
Source:
Click here to enter text.
☐pending
☐confirmed
$ Click here to enter amount
Source:
Click here to enter text.
☐pending
☐confirmed
$ Click here to enter amount
Source:
Click here to enter text.
☐pending
☐confirmed
$ Click here to enter amount
Source:
Click here to enter text.
☐pending
☐confirmed
$ Click here to enter amount
*NOTE: FOR NON-WKU RELATED TYPES OF MONETARY SUPPORT:
For external grants, attach with this application a letter from organization or copy of submitted grant.
For any other sources outside of the University, please provide contact information (email and phone number)
of funding source: Click here to enter text.
Part II. USE OF FUNDS
ITEM
AMOUNT REQUESTED
from OIP
COST
SHARE
Materials & Supplies
$Click here to enter text.
$Click here to enter text.
Marketing & Promotion
$Click here to enter text.
$Click here to enter text.
Equipment (Rentals)
$Click here to enter text.
$Click here to enter text.
Travel (Professional speaker of event)
$Click here to enter text.
$Click here to enter text.
Lodging
$Click here to enter text.
$Click here to enter text.
Food
$ Click here to enter text.
$Click here to enter text.
Honoraria/Entertainment fees
($1,000 maximum for honoraria)
$Click here to enter text.
$Click here to enter text.
Miscellaneous
$ Click here to enter text.
$Click here to enter text.
Total Amount Requested from OIP/Cost Share
Total amount requested from
OIP:
$Click here to enter text.
Total amount from Cost Share:
$Click here to enter text.
TOTAL COST of EVENT/PROGRAM:
$ Click here to enter text.
For questions on how to complete this table, please contact internationalization@wku.edu, 745-4218.
Budget Narrative: On a separate page, provide an explanation and justification for all project costs, including
cost share.