Application Form - Equity and Inclusion Office

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Equity Enhancement Fund
2016 Application Form
2016 Equity Enhancement Fund Application
Submission Deadline: Friday, April 1, 2016
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Before proceeding, please read the Equity Enhancement Fund guidelines at equity.ubc.ca/equityenhancement-fund.
Email completed applications to equity@equity.ubc.ca (word file preferred). Please contact the
Equity and Inclusion Office at equity@equity.ubc.ca with any questions.
Project Title
Applicant Information
Unit/organizational name and contact details (name, title, email and phone number) for at least two
primary contacts for this project.
Applicant Name
Title
Name of Faculty, administrative unit or club:
Email
Phone
Campus (Okanagan or Vancouver)
Project Summary (150 words max.)
Provide a detailed description of the project and indicate whether this is something new or existing.
Describe how the project significantly contributes to the enhancement of equity and diversity at UBC
and how it meets the evaluation criteria.
Project Objectives
What are the objectives of the project? Provide a clear description of what you want to accomplish.
Proposals should have observable and/or measurable benefits to the representation or experiences of
historically disadvantaged groups within the UBC community.
Equity Enhancement Fund Proposal Template
Submission Deadline: Friday, April 1, 2016. Proposals should be a maximum of five pages.
Completed proposals should be emailed to equity@equity.ubc.ca.
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Equity Enhancement Fund
2016 Application Form
Project Timeline
Include key dates for events and activities
Work Plan
Outline the key tasks and events with a timeline or schedule (if applicable) that will be used during the
planning and implementation stages of this project.
Evaluation Plan
Outline the methods to evaluate the progress of the project during the funding year.
Expected Project Outcomes (500 words max.)
List or describe the project’s intended tangible outcomes or deliverables. What will the project do or
create as a result of implementation of its work plan?
Project Benefits (500 words max.)
Referring to the project’s objectives and expected outcomes, what are the direct and short-term as well
as sustainable benefits ?
Impacted Audience (s) (Select all that apply)
What group will benefit from the project?
☐ Students
☐ Faculty
☐ Staff
☐ Other (Please elaborate: Click here to enter
text.
Who will participate in the initiative?
☐ Students
☐ Faculty
☐ Staff
☐ Other (Please elaborate: Click here to enter
text.
Budget summary
Indicate below the funding requested from the Equity Enhancement Fund (Complete full budget).
Funding requested from EFF 2016:
$
Have you previously received EEF funding?
Equity Enhancement Fund Proposal Template
Submission Deadline: Friday, April 1, 2016. Proposals should be a maximum of five pages.
Completed proposals should be emailed to equity@equity.ubc.ca.
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Equity Enhancement Fund
2016 Application Form
Budget
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Proposals up to $25,000 will be considered. Small and large proposals are encouraged. Large
proposals may receive partial funding.
There are separate funds for the Vancouver and Okanagan campuses.
Proposals that show a partnership between units/departments/groups are encouraged.
You are encouraged to match or supplement any funding awarded towards your initiative.
Funding will not be granted for projects that are a normal part of the unit’s responsibilities and
operating expenses, or, except in exceptional circumstances, to reinstitute a previously funded
project in a unit.
Sample Budget for Project: “Equity in the workplace seminar”
ITEM
DESCRIPTION
COSTS
Administrative
support
Graduate student
assistant
Honorarium
Take registrations through website,
answer inquiries
One graduate student responsible for
organizing seminar and reports
Student worker Marketing
Social media
marketing support
Printing of
materials
Room booking
Design posters, website, social media
In-kind (covered by
department)
$5,510 (10hrs/week @
$29/hr x 19 weeks
$250
5 speakers @ $50 each
$750 ($25/hr x 30)
Honorarium for student presenters
Social media support from departmental
communications
Posters
Seminar materials
Facility rental
(Life Sciences Centre Auditorium)
Refreshments
Water and juices $1/person
200 participants + 5 speakers, 10
working committee) = $215
Photography
Student volunteer – donated service
A/V Support
PA system and recording for podcast
Honorariums for
$25 gift cards x 8 – In-kind, donated by
student volunteers department
Dept grant
One-time project grant
REQUESTED
FROM EEF
$0
$5,510
$250
$750
$250 ($50/hr x 5) = $250
In-kind
$100
$0
FREE
$0
$215
$215
$50
$700
$200 ($25 x 8) =$200
In-kind donation
$500 grant
Total:
Total generated through in-kind donations and financial partnerships:
Total Amount Requested from EEF:
$100
$0
$700
$0
$0
$8525
$1000
$7525
Equity Enhancement Fund Proposal Template
Submission Deadline: Friday, April 1, 2016. Proposals should be a maximum of five pages.
Completed proposals should be emailed to equity@equity.ubc.ca.
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Equity Enhancement Fund
2016 Application Form
Qualifications / Project Partners
What skills and qualifications do you and your project partners have to undertake this project and make
it a success? Are there similar projects being done on campus by others? Have you established links with
others or are you working with others?
Sustainability
Are there plans for this initiative to be self-sustaining beyond the funding period?
Endorsement
The proposal must be endorsed by a Head of Unit or the senior official of an organization ie.
AMS/GSS/UBCSUO, union/association or student club. A Head of Unit is the Director of a service unit;
Head of an academic department; Director of a centre, institute or school; Principal of a college; Dean;
Associate Vice President; University Librarian; Registrar; Vice President; or President.
NOTE: The person making the endorsement assumes responsibility for monitoring the project.
Name:
Title:
Unit/Organization:
Campus location:
Email:
Phone:
Signature of person
Endorsing the
proposal:
Date:
Upload e-signature or print document, sign and scan
Equity Enhancement Fund Proposal Template
Submission Deadline: Friday, April 1, 2016. Proposals should be a maximum of five pages.
Completed proposals should be emailed to equity@equity.ubc.ca.
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