Date____________


Department/Program_____________________
 
Name________________

Phone Number ______________

E-mail Address ___________________

Amount Requested ________________

Please attach a 1-2 page request that addresses each of the following: (Click here for application form )

1. The purpose of the grant.  Specifically, how will the grant advance the assessment of student learning, and enhance the department's efforts to provide feedback for the advancement of the program/major?



2. How do the activities of this grant proposal relate to the department's assessment plan?  If the grant is to develop the assessment plan, please indicate such.




3.  A budget which includes a brief explanation of the proposed expenditures.



4.  A timeline which includes an implementation phase.


5. Would you consider doing the project should your requested amount of funding need to be reduced?

Send this cover sheet and your grant proposal to John Clementson , Director of Assessment, 216 Madsen Center.
This form is also on the Augustana Assessment Home Page.  All proposals will be reviewed by the Assessment Committee.  Decisions on funding will be made by April 17, 2004..