University of St. Thomas
Center for Faculty Development
Submit electronically to the Faculty Development Center ( facdevctr@stthomas.edu
) by 4:00 pm on the deadline date.
Name: UST ID number:
Department:
Email:
College/School:
Campus mailbox: Submission Date:
Faculty status: _ Full Prof _ Assoc. Prof _ Asst. Prof _ Clinical _ Adjunct
_ Other: __________ Tenure status: _ Tenured _ On tenure track _ Not applicable
Date of Initial Tenure-track appointment at UST (if applicable):
Academic year of proposed work (Semester & Year):
1. Participants in the Partnership will be ( list Name, Department, Email, and ID # ):
Tutor:_________________________________________________________________
Tutored:_______________________________________________________________
Tutored:_______________________________________________________________
Tutored: _______________________________________________________________
2. Title of the Project:
3. Subject of the Partnership-- Provide a one paragraph (no more than 150 words) statement of the subject of this Partnership, in jargon-free, non-technical language.
4.
Have any of the Partners participated previously in one or more Partnerships?
_____Yes _____No
Revised Form (5/6/15)

If yes, please provide the following information : Name/Topic of Partnership/Year of that
Partnership; prior recipients must show that this partnership is distinct from previous partnerships supported by this grant.
_ _ √_ Check that you have completed the following components of the application:
Each Tutor : ___work plan; ____background on topic; ___reading list; ___CV
Each Tutored : ___objectives and product(s) of the partnership; ___dissemination plan
Both tutor and tutored :____No final reports due for any of the applicants
1. Faculty stipends $_________ ($1000 per partner)
2. Other Expenses (up to $300) $__________. Please itemize below:
3. TOTAL FUNDING REQUEST $__________
Revised Form (5/6/15)

Statement by the Tutor(s)
(Note: If there are co-tutors in this Partnership, each must submit the following items for the tutor.)
1. Name of the tutor.
2. Description of your work plan for the Partnership : Topics; schedule of meetings (proposed number and length); readings planned for each meeting; etc.
3. A statement of your background in the topic of the Partnership .
4. A reading list or bibliography .
5. An up-to-date curriculum vitae (four page limit, single spaced) that provides the following information: name, department and contact information, education (years and degrees); academic appointments (years and titles); grants and other honors or awards (last 10 years); publications
(last 10 years); other professional activity relevant to the project (e.g., consultancies, travel, organizational leadership, collaborations).
Revised Form (5/6/15)

Statement by the Tutored(s)
(Note: If there are multiple tutored individuals in the partnership, a statement must be prepared by each person to be tutored.)
1. Name of the Tutored
2. Objectives for the Partnership. Please elaborate on exactly how the objectives will enhance and/or advance your teaching or scholarly work by answering the following questions.

Why is this partnership essential to you?

How will your instructional strategies or teaching materials or research goals or strategies be changed, or enhanced?

What, specifically, will you gain from this partnership? What are the products or discrete outcomes of the partnership?

How will these outcomes make a difference in what you do or how you approach your teaching and/or research?
3. Dissemination plan. Provide a description of how the product or outcomes of the Partnership will be made available to other relevant faculty through publications or in specific conferences.
Where appropriate, indicate how relevant information will be made available to those teaching other sections of core or core area courses, those teaching related general education requirements, or other faculty teaching in the same major field.
Revised Form (5/6/15)