College Fellows Program - Application
Thank you for your application.
Please complete the following information. Save the document (your name and the date you complete the application) and send it as
an attachment via email it to Anne.Mcintosh@cpcc.edu
Direct questions about the application to Anne McIntosh.
Anne McIntosh, PhD
Chair, College Fellows Program
Transport Systems Building 228
Merancas Campus
(704)330-4161
We accept applications continuously. We will take action on an application when the date for the annual Fellows cycle has been
announced on the College Fellows website.
APPLICATION:
Today’s Date: Enter today's date here
Fellowship Track:
Check the track that best fits your project. If you are not sure, make your best guess and the committee can help you to
determine which track during the interview process.
Applied Fellow - will produce an object or workflow to address a given need
Learning Fellow - will conduct "traditional" academic research that may be published or presented at a conference
Community Fellow - will design proposals that intend to deliver a service and strategies for delivering this service
Please check one: Individual Project?
Please check one:
Or Team project?
Project Focuses on College-Readiness
Project Focuses on Career-Readiness
Applicant’s Name or Team Leader name:
Enter your name here as either an individual applicant or as the team leader of a team project
If applicable, enter the members of your team and their programs/divisions:
Enter the names of all the people on your team and their programs/divisions
Campus Address: Your campus office address
Campus Telephone: Your campus extension
Program/Division: Your CPCC Program and Division
Worklife with CPCC: Enter here how long you have worked for the college
Job Title: Enter your Job Title
Division Director Email Acknowledgement/OK:
Please email your Division Director, notifying them of your application and copy and paste the response here. You may also
attach this as a separate sheet.
College Fellows Application -- 1
Dean Signature Email Acknowledgement/OK:
Please email your Dean, notifying them of your application and copy and paste the response here. You may also attach this
as a separate sheet.
Project Abstract:
Describe your project succinctly. Include an overall description and the relevance of the project to our learning-centered
college and its mission. Explain how the project will benefit faculty and students within and, possibly, beyond your division.
If you are professional staff, explain how the project will benefit a community-based organization and CPCC.
Write or paste project abstract here
Project Timeline:
Outline by date what you plan to accomplish and when. Include how much reassigned time will be needed to accomplish
the project. If your application is for a team, please estimate the reassigned time for all team members.
Enter estimated reassigned time(s) here
A timeline is critical to the completion of the project. The default timeline is for 20 weeks (16 week semester plus 2 prior to
the semester and two past the semester. If your project exceeds the default, map out the project weekly until your
projected completion date.
Week 1 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 2 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 3 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 4 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 5 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 6 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 7 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 8 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 9 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 10 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 11 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 12 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 13 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week14 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 15 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 16 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 17 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 18 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 19 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Week 20 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
Additional Weeks Enter here additional weeks necessary for the completion of your project and also the project tasks for
each week.
Document your successes and effectiveness as a teacher or professional staff in the community college.
Please “check” at least two items below that you can make available to the committee.
A portfolio of innovative assignments, model student work, or a portfolio that includes descriptions of successfully
completed projects as a professional staff
A description of publications, conference presentations / conferences attended or any awards received, or descriptions
of presentations or publications relating to your work as a professional staff
A written philosophy of teaching, or a statement that describes what motivates you in your position as a professional
College Fellows Application -- 2
staff
A narrative of the instructional methods you have recently applied in the classroom, in which you discuss the ways that
your teaching has changed, what has prompted these changes, and their effects on student learning, or a statement in
which you describe how you have responded to a range of challenges as a professional staff
Teaching data such as student opinion survey results, and classroom observation results, or any additional information
that clarifies your contributions to the community college as a professional staff
Estimated Budget
Enter the dollar amount you anticipate for applicable budget items.
Research Materials:
0.00 Purchase of research books
0.00 Purchase of research journals
0.00 Purchase of articles online
0.00 Purchase of updated versions of APA / MLA hardcopies or online templates
0.00 Purchase of updated quantitative / qualitative analysis references germane to your field
0.00 Purchase of licensing fees for use of instruments, measures, and/or surveys
0.00 Copying PIN or card for photocopying of materials on-site
0.00 Miscellaneous funds for photocopying of materials off-site
Research Subjects / Participants:
0.00 Advertising for research subjects in newspapers, listservs, journals, etc.
0.00 Honorarium to research subjects for participation
Data Collection Expenses: (estimate size of sample pool to use as your multiplier)
0.00 Paper/photocopying of questionnaires, measures, instruments
0.00 Toner/cartridges for photocopying of questionnaires, measures, instruments
0.00 BO for photocopying at CPCC Printing
0.00 Postage to mail research to research subject (Bulk mail is not available)
0.00 Organizing folders or other means of sorting hard-copy data
College Fellows Application -- 3
0.00 Special pens, markers, paints, or other supplies needed for data collection or analysis
0.00 Digital camera, tripod
0.00 Digital video recorder (for interviewing or data collection)
0.00 Digital audio recorder (for interviewing)
0.00 Transcription costs
0.00 Mailing envelopes
0.00 Reminder notices
0.00 Return postage
0.00 Return mailers
Travel expenses: (for research purposes to gather data, interview subjects, get literature review from specialized libraries or
other institutions). There are travel grants available, but we still want to know the estimate of travel.
0.00 Travel (road trips*mileage*travel*.445)
0.00 Travel (airfare, train fare)
0.00 Hotel
0.00 Taxi-transportation
0.00 Per Diem
0.00 Entrance fees/registration fees for any event
Data Compilation/Data Analysis - Computer Needs:
0.00 Computer software needed (not provided by ITS)
0.00 Computer software licensing needed (not provided by ITS)
0.00 Printer or printer network capabilities (not provided by ITS or your Dept.)
0.00 CDs, DVDs, web camera, videos, microphone, thumb/flash drives
0.00 Stipend for second opinion on interpretation of results
Other Communication Needs:
0.00 Long-distance calling to subjects
College Fellows Application -- 4
0.00 Long-distance calling to experts in the field
0.00 Postage to mail correspondence to experts, colleagues
0.00 Stipends to researchers/consultants for interviews, information, consultations (note: some consultants are self-funded
and need financial support to lend you support)
Other Assistance and Support:
0.00 Stipend for work study student/assistant
0.00 Stipend to Planning & Research for inputting data for surveys and measures. Contact them for cost estimates.
0.00 Stipend to Planning & Research for quantitative analysis
0.00 Stipend to Planning & Research for qualitative analysis
NOTE: Planning & Research will donate 15 hours to the College Fellows Program to assist with one survey, write the code
and provide frequencies for the data. Beyond 15 hours, the cost is $25.00/hour for the P&R services
Submitting manuscripts to conferences, journals, other publishing outlets:
0.00 Photocopy of manuscripts
0.00 Postage
0.00 Hard copies of papers to conference participants
0.00 Poster board
Travel Expenses: (for conferences/presentation purposes). There are travel grants available but we still want to know the
estimate of travel.
0.00 Travel (road trips*mileage*.445)
0.00 Travel (airfare, train)
0.00 Hotel
0.00Taxi/transportation
0.00 Per diem
0.00 Entrance fees for any special events
Conference expenses:
0.00 Membership/convention fees
College Fellows Application -- 5
0.00 Registration fees
Other:
0.00 Anything else? Enter here.
0.00 Anything else? Enter here.
0.00 Anything else? Enter here.
Total Estimated Budget:
0.00 Total Estimated Budget
College Fellows Application -- 6