CRD GRANT APPLICATION Personal Information Name: Local Address: Telephone: Email: MIT Affiliation: Department/Center/Lab: Proposal Theme Your CRD grant proposal should fit one of the following five core themes: Non‐Student Immersion (Alumni/Faculty/Staff) Programs that involve alumni, faculty, and staff in hands‐on planning or active participation Example: Chocolate City Faculty Reception Community Engagement Programs that establish new or deeper connections between MIT and off‐site constituencies Example: MAES Science Extravaganza Career Development (Professional/Scholar) Includes workshops, conferences, and colloquia; venues must be open to the MIT community. Example: NSBE Annual Convention Leading Outward Based on the "leading upward" model, these programs train participants in diversity and inclusion leadership skills for later dissemination to the MIT community; ideally involve faculty and staff. Example: SHPE National Institute for Leadership Advancement Conference Expanding Outlooks (Social/Political/Cultural) Includes recruitment programs, new forums, and arts‐oriented projects Example: Black Week Please return to crd-chairs@mit.edu 1 Logistical Information CRD Grant Proposal Theme: Program title: Sponsoring group/office/individual: Are you collaborating with any other student groups or departments on campus? If yes, which ones? Program coordinators (name/email/MIT affiliation): Program date(s)/time(s): Program description (up to 250 words): Program timeline: Program venue: Estimated attendance: Intended audience: Please return to crd-chairs@mit.edu 2 Budget Information Please attach your detailed program budget to this document. Applications submitted without a budget outline will not be considered. Total program budget: Amount requested from CRD (please detail how CRD funds will be used): (Ex. Total budget: $5000 Amount requested from CRD: Outline of use: $1000 $500 for catering $500 for conf services) Other sources of income: Main MIT account number: Is this a repeat program? If yes, when was the most recent installment? In the past, have you requested CRD funding for this program? In the past, has the CRD funded this event? If yes, please provide: 1) A brief summary of the previously funded projects 2) Information about the outcomes and accomplishments of the previously funded projects Please return to crd-chairs@mit.edu 3 Program Alignment with CRD Mission and Impact on Diversity and Inclusion at MIT CRD’s mission is to foster better relations among diverse racial and cultural groups and to help the community realize the benefits of its cultural and racial diversity. Its grants program is designed to support programs and activities that promote multicultural understanding and positive race relations within the MIT community. Please explain how the proposal reflects or promotes CRD’s mission to build a strongly diverse and inclusive environment on campus. In addition, please answer the following questions: What should attendees learn from the program? Describe the intended level of interaction between audience members and program presenters or panelists, etc. Will information about attendee follow-up actions or activities be collected? If there is a question and answer session, how will it be structured? How will attendee learning and satisfaction be recorded and measured? What materials will program attendees receive/take away? Please return to crd-chairs@mit.edu 4