Student Engagement Fund
Application due Thursday, October 15, 2015
Mentored Service Learning Projects:
Project Information:
(No more than 250 words for each)
1. Project title:
2. Background - Explain the present state of knowledge of the community you were working with,
understanding of the work that you community organization is doing. Make it clear why you
want to do this project, and why it needs to be undertaken.
3. Impact - Explain the significance of your service learning project as it contributes to the
organization, community, the world. (i.e. the big picture)
4. Project Objectives - Clearly and concisely state the service learning objective or concept that will
be addressed during the period of the proposed service learning project.
5. Methods - Describe in clear and understandable terms your general plan of work in order to
fulfill your stated goal.
6. What are your expected results or the expected range of results of your project?
7. What will be the final product of the proposed service learning? (poster; report; a publishable
article or chapter, a performance; a policy recommendation, and other)
8. Indicate how the proposed service learning project is expected to enhance your academic
experience?
Funding Information:
9. Are you applying for stipend and/or expense?
a) STIPEND award: (Stipends for students are for 8 hours a week for up to 120 hours at the
rate of $10/hour for a maximum award of $1200)
i. Estimate the number of hours per week you anticipate to work on the service
learning – not to exceed 8 hours a week.
ii. Keep in mind that students are hired as NIU employees in order to receive the
stipend and due to the rules outlined by the Affordable Care Act, it is critically
important that work hours do not exceed the 20 hour maximum per week
including all of the on campus positions.
iii. Does your service learning require any additional expense funding? Please
follow instructions for Expense awards.
*Please read and note all award restrictions information on our website.
b) EXPENSE award: (Expense awards will range from $250 to $2500. Eligible expenses
include (but are not limited to): Conference registration fees; Travel expenses (excluding
local transportation); Materials, equipment and supplies specific to the project; Direct
project expenses (e.g. copying, mailing surveys, etc)
ONLY STUDENTS IN THE COLLEGE OF LIBERAL ARTS & SCIENCES ARE ELIGIBLE FOR
EXPENSE AWARDS!
Volunteer/Non-profit agency information:
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Agency name:
Contact person:
Contact title:
Contact e-mail:
Student Engagement Fund
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Application due Thursday, October 15, 2015
Contact phone:
Agency website:
Contact Address:
Contact City, State, Zip
Brief description of the agency:
Does this project tie into a specific course? Yes or no
If yes, identify the course to which you wish to apply this credit.
Supporting Documents:
21. Copy of unofficial transcript: You can download your unofficial transcript from MyNIU.
22. Itemized budget: Students must provide a brief justification for the proposed expenses in the
budget. Students must also provide a line by line budget in a table. You may create a budget in
an excel worksheet and copy and paste it into your proposal. Budgets written only in narrative
form will not be accepted. This document is only needed if you are applying for an expense
award.
23. Timeline: Provide a timeline of activities. Include specific benchmarks to achieve throughout the
semester to indicate that you are on task. This timeline should be on a weekly or bi-weekly.
Timelines written in narrative form will not be accepted.
24. Faculty/Staff Contract: This agreement is designed to promote understanding and
commitment to the role, responsibilities and expectations of both students and
faculty/staff mentors who participate in the program
25. Letter of Recommendation (only one is required):
a. name
b. institution
c. title
d. email
e. relationship to you
f. phone
g. department
Faculty Mentor/advisor
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Faculty Mentor name
Faculty Mentor email
Faculty Mentor department
Faculty Mentor phone
Have you met with the faculty member listed above?
Has the faculty member agreed to serve as your undergraduate research supervisor?
Miscellaneous
32. How did you become aware of the program?
33. Do you qualify for work study?
34. Emergency contact 1:
a. name
b. phone
c. relationship to you
35. Emergency contact 2:
a. name
Student Engagement Fund
b. phone
c. relationship to you
Application due Thursday, October 15, 2015