- CSHP-UCSD Global Health Education Grant GRANT REQUEST APPLICATION
CSHP-UCSD GLOBAL HEALTH EDUCATION GRANT
APPLICATION CRITERIA
1. On an annual basis, an amount equal to 40% of the funds raised from the annual Culture Fusion event
with a maximum of $500 shall be designated as funds for potential distribution in the form of grants
to CSHP-UCSD student members. The maximum amount awarded per application cycle will be $250.
2. There will be two separate application cycles during the school year. The deadlines for grant
application submission for each cycle are as follows:
Cycle 1: November 5, 2012 at 11:59 pm
Cycle 2: February 11, 2013 at 11:59 pm
3. CSHP-UCSD is offering an annual grant to fund projects which meet the following criteria:
a. Applicant criteria:
i. Eligible applicants are any student or group of students attending UCSD Skaggs
School of Pharmacy and Pharmaceutical Sciences who are CSHP-UCSD members.
b. Project criteria: To receive funds, the project must:
i. Be related to the profession of pharmacy
ii. Promote cultural awareness or diversity
iii. Promote the profession of pharmacy
iv. Grant recipients are required to give a 3-5 minute presentation of their experience and
the outcome of their project at the annual Culture Fusion Show
v. Grants will only be awarded for future projects i.e Students may not apply for
funding of past projects
1. The selection committee reserves the right to deny an application or provide
partial funding
vi. If awarded, any changes to the amended budget requires submission of an amended
project description and a budget sheet within 1 week of receiving the grant
1. The committee reserves the right to deny an amended budget
c. Budget criteria: The grant amount shall fund the following expenditures:
i. Includes: any materials that support the goals of the project
1. Examples include: educational outreach supplies such as brochures,
posters/pamphlets, and health products
ii. Excludes: travel expenses
4. Grant funds will only be awarded to a student or group of students for a certain project one time per
school year (September – June). A student or group of students may not request funding for the same
project more than once per academic year.
5. Grant requests will be reviewed by the CSHP-UCSD Grant Committee comprised of :
a. President-elect, Fundraising chair, Secretary/Treasurer
Revised 10/16/2012
- CSHP-UCSD Global Health Education Grant GRANT REQUEST APPLICATION
Note: If a member of the Grant Committee wishes to apply, he/she must withdraw from the Grant
Committee and an alternate CSHP executive board member will serve on the Committee.
6. Applicants will be notified of the grant committee’s decision within 4 weeks of submitting the
deadline for grant request.
a. Grant recipients will be awarded in the form of reimbursement for proposed expenditures
i. All receipts must be kept AND submitted with a pre-approved amended budget
sheet within 4 weeks of project completion date.
7. Completed electronic applications with a proposed budget should be submitted to:
CSHP-UCSD President-elect: Alan Chin <a3chin@ucsd.edu>
Name of applicant:
Applicant e-mail:
Applicant phone number:
Other CSHP-UCSD members involved:
Name of Project:
Date(s) of Project:
Amount of Funding Requested: $
PROJECT PROPOSAL (Not to exceed 500 words)
Briefly describe the proposed project and how it will promote health education, the profession of
pharmacy, and cultural awareness or diversity:
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- CSHP-UCSD Global Health Education Grant GRANT REQUEST APPLICATION
PROPOSED BUDGET: (Note: all receipts must be kept and submitted for reimbursement)
Item
Quantity
Cost
Total Cost:
Signature:
Name of applicant:
Applicant email:
$
Date:
Revised 10/16/2012
- CSHP-UCSD Global Health Education Grant GRANT REQUEST APPLICATION
To be completed if grant request is awarded:


Must submit with receipts within 4 weeks of project completion.
The Grant Committee reserves the right to approve or deny the reimbursement of additional or
amended expenses.
AMENDED BUDGET:
Item
Quantity
Total Cost:
Cost
$
Revised 10/16/2012
- CSHP-UCSD Global Health Education Grant GRANT REQUEST APPLICATION
Signature:
Name of applicant:
Applicant email:
Date:
Revised 10/16/2012