Summer Instructional Development Fellowship Application

Office of Academic Affairs and Dean of the Faculties

Deadline: Friday, January 30, 2009

1. Name: ____________________________________________________________________

Rank: _______________________________ Department: ___________________________

Campus Address: ________________________________ Telephones: _________________

2. Title of Project:

__________________________________________________________________________

__________________________________________________________________________

3. Abstract: (Limited to this space or 120 words.)

4. References: One letter of recommendation on a Dean of the Faculties Recommendation Form is required (see attached). List below the name, address, and phone number of the person from whom we should expect to receive this letter:

Name: ________________________________

Address: ______________________________

______________________________

Phone Number: ________________________

5. Unit Support: A Unit Support Statement must be completed by your departmental chair or school dean and forwarded to the Dean of the Faculties. (see attached)

6. Description of Project: (Limit: 1500 words)

Include the following issues in your description of the project:

a) Description: What is it you plan to do and how do you plan to go about it? What are essential activities involved in the project?

b) Rationale: Give reasons that justify awarding funds for this project, such as your pedagogical needs, innovative approach, anticipated impact on students, research question to be investigated.

c) Resources: If your project requires special equipment or resources (audio-visual equipment, computer hardware or software, instructional consultants), outline and justify these anticipated needs.

d) Assessment: How do you plan to evaluate the project to know whether it has produced the desired results?

e) Dissemination: How do you plan to disseminate the results of your project to the IU faculty and student community?

f) Adoption: What is the likelihood that results of the project, if successful, will be continued in the future without special grant support?

g) Individuals/Courses Affected: Please identify: a) course(s); b) approximate number and level of students affected each year (undergraduates, graduates); c) other faculty members involved (such as for team teaching proposals).

Please have the chair of your department and the dean of your school endorse this proposal below before submitting it to the Office of Academic Affairs and Dean of the Faculties, Bryan Hall 111, Bloomington, IN., 47405.

Chair: _________________________________ Date: ___________________

Dean: _________________________________ Date: ___________________