1ST ANNUAL TEACHING AND LEARNING
NATIONAL INSTITUTE APPLICATION
July 31-August 3, 2016
We recommend you complete this application online. Take as much space as you need to answer each question –
just hit Enter to start a new paragraph. If you have questions, send e-mail to washcenter@evergreen.edu or call (360)
867-6611. Completed applications may be e-mailed to washcenter@evergreen.edu. Priority will be given to
applications received by March 1st, 2016
Cost for the 2016 Teaching and Learning National Institute is $1,350 per team member.
Please complete all sections of this application to be considered for the 2016 Teaching and Learning National
Institute (TLNI).
Date Submitted:
1. YOUR INSTITUTION
Institution Name:
Institution Website:
Type of Institution:
Public
Independent
2-year
4-year
2. GOALS FOR ATTENDING THE INSTITUTE
TLNI is designed to help campus teams develop a plan for fostering data-informed change initiatives aimed at
improving the quality of students’ experiences in courses and educational activities across the curriculum, leading to
increases in student engagement, retention and graduation, and learning outcomes. At the institute, your team will
construct a two-year action plan informed by current research on student learning and learning-centered campus
practices, and grounded in the specific context and experiences of your campus. The more we know about your goals
for attending this institute, the better we can tailor the curriculum to support your work.
1.
What concerns do you have about the quality of students’ experiences in courses and/or educational activities
across the curriculum? How did these issues or areas for improvement come to your attention?
2.
If your team is accepted, which of these issues or areas would you like to address at the Institute?
3.
Are there specific approaches or practices you’d like to learn more about, that would help you foster datainformed change aimed at improving students’ experiences in courses and educational activities?
4.
Why is this a good time for your campus to send a team to this institute, and what do you hope to accomplish?
3. YOUR STUDENTS
Prior to arriving at the institute, we expect teams to have had discussions about what campus assessments (NSSE,
CCSSE, rubrics, student ratings of instruction, and other measures) suggest in terms of areas of improvement. The
registrar, institutional researcher, and/or chief academic officer are likely collaborators for compiling the information
requested below.
Snapshot of Undergraduate Student Demographics:
Number of students attending institution:
Full-time
Part-time
Size of your first-year/full-time class, starting this fall:
Percent of students who are PELL eligible (first-year class or student body as a whole):
Percent who are first-generation college students (first-year class or student body as a whole):
Percent of students who live in residence halls on campus (if applicable):
Percent of students who take courses all or partly online:
Average age of students:
Student Success
1.
What are the first-term to second-term and/or fall-to-fall persistence rates for entering students?
2.
What is your overall graduation rate?
3.
When you disaggregate data about student persistence and graduation, are there noteworthy trends or patterns?
If so, please describe.
Assessments of Student Experiences
1.
Are there measures or data you rely on to regularly assess students’ experiences in courses and educational
activities on your campus (i.e. end of course evaluations, student evaluations, student surveys, signature
assignments)?
2.
What specific areas of your curriculum are you targeting for improvement, and why?
3.
What is the institution’s experience leading data-informed change initiatives? Please give an example of a
successful change you’ve made.
4. YOUR CAMPUS
1. Are there campus initiatives (accreditation projects, Title III or Title V projects, NSF-funded projects, Foundations of
Excellence projects, other projects) that may affect your planning? If so, briefly describe them and their potential impact.
2. Does your campus have a teaching/learning center, or a person responsible for faculty/professional development? If
so, to what extent have they been involved in your planning?
5. ADDITIONAL INFORMATION
Please tell us how you heard about the institute:
Is there anything else about your team or your institution that we should know as we consider your application?
6. YOUR TEAM
Rationale for Team Members
The recommended team will consist of at least 3 faculty members (ideally representing different disciplines), an
academic administrator, and at least one other person from your campus who is central to your planning, such as the
director for the Center for Teaching and Learning (or the equivalent), an institutional researcher, an assessment
leader, a student affairs professional, a librarian, or an educational technology specialist. Please provide a brief
rationale for the proposed team members in light of your institute goals.
Team Leader
Name
Department
Title
E-mail Address
Mailing Address
Phone
Fax
Additional Team Members (maximum of 7)
1. Name
Department
Title
E-mail Address
Rationale:
2. Name
Department
Title
E-mail Address
Rationale:
3. Name
Department
Title
E-mail Address
Rationale:
4. Name
Department
Title
E-mail Address
Rationale:
5. Name
Department
Title
E-mail Address
Rationale:
6. Name
Department
Title
E-mail Address
Rationale:
7. Name
Department
Title
E-mail Address
Rationale:
7. ADMINISTRATIVE ENDORSEMENT
In order to be considered for the institute, your team must have an endorsement by a senior administrator at your
institution. To indicate approval of your team’s application and a willingness to commit institutional resources to
participation in the institute ($1,350 per person plus travel expenses for teams staying in student housing for four
nights), the designated administrator should send e-mail conveying their approval to the Washington Center at
washcenter@evergreen.edu.
Approving Administrator’s Name
Title
E-mail Address