Teaching about Diversity Fund (TDF) Principal Investigator Name: Click here to enter text. Status: Choose an item. Department/School: Click here to enter text. Email: Click here to enter text. Names and affiliations of other applicants: Name Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Affiliation Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Title of Proposal: Click here to enter text. Budget Request from TDF: Click here to enter text. Budget from other sources: Click here to enter text. 1) Summary of Proposal: Provide a brief description of the proposal, suitable for public circulation if funded (Approx. 100 words, 700 characters). Click here to enter text. 2) Provide a clear statement of the project’s rationale, objectives and how it meets the TDF criteria (Max. 1 page). Click here to enter text. 3) Explain how the proposal will impact students including the number of students that will be impacted and if applicable how student are used in this project (100 words). Click here to enter text. 4) Describe how the expected project outcomes will be measured (100 words). Click here to enter text. 5) Describe the evaluation process (How will success be determined and what outcome-based criteria will be used to determine success, 100 words). Click here to enter text. 6) Describe the timeline for the project noting that typically funds will be made available May 2016 and are to be expended during the 16/17 academic year but no later than May 31, 2017 (Max. 100 words). Click here to enter text. 7) Describe how will this project enhance teaching in broader community (Max. 50 words). Click here to enter text. 8) What resources will be created (ie. Workshop, electronic, tip sheets, etc.) ☐ If creating a new resource, please attach to the email submission testimonials from other faculty who will use this resource. ☐ If creating a new course, or making a revision, please attach to the email submission a letter of support from your Dean or Chair. Click here to enter text. 9) BUDGET Itemize proposed expenses and in the Budget Justification column please describe in detail the need for the expense relative to the project’s objectives. If you are describing salaries, explain specifically what the individual will be doing. If you are asking for funds to buy equipment, please indicate why you cannot use the available equipment at Ryerson. Budget Justification – Clearly explain Proposed Expenditure Amount how each item will be used during the project (You may attach a separate budget sheet if needed). 1. Salaries and Benefits: a) Students b) Technical Assistants c) Other 2. Equipment a) Purchase or rental b) User fees 3. Materials and Supplies a) b) c) *Other: Total Costs: Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. *Itemize other sources (if any): Item Amount Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Click here to enter text. Note: The budget must be spent by May 31, 2017 unless approved by the Vice Provost Academic in advance. Protection of Privacy In accordance with Section 39(2) of the Freedom of Information and Protection of Privacy Act (FIPPA), the information on this form is collected under the authority of the Ryerson University Act, 1977, Sec. (3)(1) for the advancement of learning and is needed to facilitate the adjudication of your application for Teaching about Diversity Fund (TDF). All personal information that is collected will be used, stored, and destroyed in accordance with Ryerson University’s Procedure for Protecting Restricted Information and Providing Access to Information which is part of the Information Protection and Access Policy (see http://www.ryerson.ca/about/vpadminstration/assets/pdf/InformationProtectionandAccessPolicy.pdf).