INSTRUCTIONAL DEVELOPMENT GRANT
Application
Per WMU AAUP Contract- Article 40
Approval Routing: (please print name and sign)
Submitted by: ____________________
Signature:___________________ Date:________
Department Chair: ________________
Signature:___________________ Date:________
Dean: _________________________
Signature:___________________ Date:________
Provost Office (only necessary if interdisciplinary effort): _________________________
Signature:___________________ Date:________
Name ______________________________Rank ___________
Tenure/Tenure Track ______ Term _____
(Check 1)
Department___________________ College ________________
Phone ______________ E-mail ________________________
______________________________________________________________________________
1.
Reason for requested funding (name specific conference or training you wish to
attend)?
2.
Check proposal emphasis: ___ program development ___ continuing self education
___ product development ___ international education ___ other (please describe)
3.
The attached proposal represents: ___an individual effort ___ a departmental effort
___ inter-departmental consortia
4.
Date(s) of activity: _______________________________________________
5.
Location of activity: ______________________________________________
6.
Amount requested: $______________
Itemization of expenses:
7.
How will this activity benefit you, the college, and/or the University?
8.
Chair’s remarks (as deemed appropriate):
9.
Dean’s remarks (as deemed appropriate):