Willamette University Green Initiative Fund 2015-16 Mini-Grant Proposal Form Instructions for submitting a proposal: www.willamette.edu/go/gif Complete proposals will include (1) this document with all information requested below clearly written and neatly formatted in the space/area provided, and (2) an excel project budget spreadsheet available on the GIF website. Incomplete proposals may not be considered. Project Personnel Information Proposal Author Date: Proposals may be developed and submitted by students, staff, and/or faculty. Please include information for at least one proposal author the GIF committee should communicate with. Name: Title & Department (if employee): Email address: Contact Phone Number: Student ID (if applicable): WU Graduate student? Y/N: Designated P-Card Holder Before submitting a proposal please verify that the individual listed below has a p-card or can acquire a p-card, that they agree to use their p-card to pay for non-wage project expenses, and that they understand their responsibility to use their p-card according to university policy. Name: Title & Department (if employee): Email address: Contact Phone Number: Student Employee Supervisor If your project includes student wages, please identify the university employee who has agreed to at least hire and approve timesheets for students working on the proposed project. The student employee supervisor may also be the proposal author and/or the designated p-card holder. Name: Title & Department: Email address: Contact Phone Number: Support from WU Administrative Leadership Please identify any university administrators who have reviewed this proposal and have expressed interest and/or support. Name: Title & Department: Non-WU Project Personnel and Stakeholders Please identify individuals that have been involved in developing this proposal and/or may have a role in or influence the implementation of the proposed project. Name: Organization: Email address: Contact Phone Number: Project Program Statement Location Building Name and/or Area of Willamette University (if applicable): Off-campus location(s) (if applicable): Project Program Statement Strong program Statements clearly reflect the goals and values of the GIF program as indicated in its constitution, bylaws, and web pages, and present a compelling vision for the future. Please ensure your program statement also answers the following questions: ● ● ● ● ● Briefly explain your project (include scope and other details relevant to your idea) Why are you interested in doing this project? What will change when the project is completed? What will happen if Willamette doesn't complete this project successfully? What are the benefits of doing this project for Willamette University, and students in particular? ● What will the university need to do differently once this project has been completed? Special Equipment and/or Hazardous Materials Does the project contain/involve equipment or hazardous materials that require special attention? If so please detail and describe. Are there unusual circumstances or issues that need to be accommodated to accomplish this project? If so please describe. Benefit for WU Undergraduate Students Benefit to undergraduate students is important to the GIF committee because undergraduate student fees fund the GIF program. Provide an estimated number of students your project will engage and/or benefit for each “level of student engagement” on the GIF “how to apply” web page (i.e., administrative leader, coordinator, student worker, student volunteer, experiential learner). Project Timeline Mini-Grant funds are intended to be allocated to timely projects that are completed during the same academic year funds are awarded. Describe the timeline for your project including kick-off and completion. Be as specific as possible, and indicate if/how the timeline is flexible or not. Project Budget Total funds requested: The GIF committee will consider proposals with budgets ranging between $500-$2,000. Complete mini-grant proposals include a budget correctly using the excel budget spreadsheet provided on the GIF “How to Apply” web page. Budgets should include other sources of funding (in-kind and financial) not requested of the GIF Committee but essential to the project. (Proposals that do not include a budget spreadsheet may not be considered for funding.) Additional Comments In 100 words or less, please provide additional information that you would like the GIF Committee to consider when reviewing your proposal.