eLearning Professional Development Grant (July 2012)

eLearning Professional Development Grants are designed to facilitate professional development activities that increase student engagement, facilitate greater instructor efficiency, and enable anytime/anyplace learning by extending eLearning or information technology skills and knowledge beyond customary job training. Recipients are awarded up to $2,000 (funding requires a 1:1 match (cash or in-kind) from unit, department, or other source). Please note, this grant cannot be used toward funding production work.

This online form does not permit saving work and continuing at a later time. Thus, please keep a draft copy elsewhere (Word, Notepad, SimpleText, etc.) before submitting your form.

Contact ltgrants@osu.edu with questions regarding this grant or application form.

1. Person requesting grant funds

First Name

Last Name

Role

Department, unit, or area

Email Address

Preferred Phone Number

2. Co-submitter (if applicable)

First Name

Last Name

Email Address

3. Department Chair, Director, or Dean (if not person requesting funds)

First Name

Last Name

Email Address

4. Financial officer for department, unit, or area (if known)

First Name

Last Name

Email Address

5. Select the following theme(s) furthered by this proposed activity.

	Anytime/anyplace learning
	Student engagement
	Faculty efficiency

6. The proposed eLearning professional development activity can best be described as being for:

7. Concisely describe the proposed professional development activity. Include how it furthers student engagement, faculty efficiency, or anytime/anyplace learning. Include weblinks to additional resources if applicable (e.g., conference site/program, speaker information, and so on).

8. Describe how your proposed activity will impact the professional growth goal for those involved.

9. What role(s) will you play in the proposed activity?

	Participant
	Coordinator
	Presenter
	Other

10. Please describe what someone with your role(s) does during or for the proposed activity.

11. Describe how you plan to share what you learned with others (e.g., colleagues in your department, unit, or area).

12. Provide the amount requested from LT and the funds already secured. Note, there is a 1:1 (Secured funds:LT funds) ratio requirement for this grant. LT contribution maximum is $2,000. For Per Diem rates, visit: http://www.gsa.gov/HP_01_Requested_perdiem.

Also, briefly describe how the funds will be used toward the proposed activity.

	Dollar amount requested ($)	Describe how the funds will be used
	Dollar amount requested ($)	Describe how the funds will be used	Requested from LT
Secured matching funds

13. Provide the estimated total activity cost.

14. By what date do you anticipate being finished with your proposed professional development activity?

(MM/DD/YYYY)

15. Describe any other information the review committee should know about this project or take under consideration.

16. Application submitter (if different from the person requesting funds)

First Name

Last Name

Email Address

17. I agree to and accept the following statements:

	I have read and agree to the expectations as described in the eLearning Professional Development Grant overview page (http://go.osu.edu/PD).
	I have contacted my supervisor (if applicable) to send a letter of support to ltgrants@osu.edu (with submitter as cc) for my participation in this development opportunity.
	I understand this application will not be considered until the letter of support has been received.
	I am willing to lead a Digital Union workshop based on the knowledge/skills I acquired through this grant.

	An individual
	A small group
	A department or unit
	The university community
	Other