Equity Enhancement Fund 2016 Application Form 2016 Equity Enhancement Fund Application Submission Deadline: Friday, April 1, 2016 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. 1 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. 2 Equity Enhancement Fund 2016 Application Form Budget 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. 3 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. 4