Departmental Impact Grant 2012

This grant provides an opportunity to integrate technology into a key (mandatory, GEC, or required for major) or large (approximately 250 students or more per quarter) departmental course. Winners receive Learning Technology staff expertise (up to 200 hours) and financial resources (up to $15,000) for 12 months.

You may save your progress with this online form and return to complete your application at a later time; however, you are encouraged to keep a draft copy elsewhere (Word, Notepad, SimpleText, etc.) as a back-up. To save your progress, click on the link in the upper right corner named "Save and continue application later" and supply your preferred email address. After selecting "Save and continue application later", close out of your browser window. You will be provided a link via email to continue your saved application.

You will need to contact ltgrants@osu.edu for a link to continue editing your application after it has been submitted.

Remember, Impact Grant applications are due May 21, 2012.

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

1. Principal Project Lead

First Name

Last Name

Role

Department, unit, or area

Email Address

Preferred Phone Number

2. Department Chair, Director, or Dean

First Name

Last Name

Email Address

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

First Name

Last Name

Email Address

4. IT support liaison for department, unit, or area (if known)

First Name

Last Name

Email Address

5. Project title

6. Select the following theme(s) furthered by this proposed project.

	Faculty efficiency
	Emerging technology
	Anytime/anyplace learning
	Student engagement

7. Provide a concise summary of the proposed project and how it connects to the above theme(s) (250 words or fewer). If desired, attach a storyboard or screen shots via an email attachment to ltgrants@osu.edu. Be sure to include the confirmation number received upon submitting this application in your email.

0/250 allowed words.

8. Describe how this proposed project will impact the department, unit, or area. Include: (1) the central problem being addressed; and (2) the teaching, learning, or curricular impact of the project (i.e., how the project affects the end user).

9. Describe the project outcomes or deliverables. In the description, include a tentative timeline of completion given the 12 month duration of the grant during which the final 4 months should include implementation and assessment.

10. Provide a tentative project budget. Keep in mind the minimum 1:2 (nonLT:LT) matching obligation (e.g., if requesting the full $15,000 from LT, applicant should have at minimum $7,500 of in-kind support toward the project). Please concisely describe how funds will be spent.

In-kind support examples include faculty/staff release time, other fund sources, equipment use, and so on. LT fund use examples include faculty/staff release time, student employee pay, conference expenses, necessary software and licenses purchases, and specialized training acquisition. Further, LT funding may be used for limited hardware and peripheral purchases.

Questions regarding what qualifies as matching funds or how LT funds may be spent should be directed to ltgrants@osu.edu.

	Dollar amount ($)	Describe how the funds will be used
	Dollar amount ($)	Describe how the funds will be used	Requested from LT
Departmental, unit, area, or outside funding sources

11. Describe what should occur for the proposed project to be deemed a success by you and your department, unit, or area.

12. Describe how the project will be integrated and sustained in your department, unit, or area.

13. Estimate the number of individuals involved in the proposed project.

	Number of individuals
Faculty
Support Staff
Student Employees
Other

14. If known, name and describe the faculty, staff, and students in your department, unit, or area (or otherwise associated with the project) who will be performing various roles to make this proposed project successful (e.g., positions, expertise, time available for the project, and so on).

15. Estimate the annual number of students impacted by the proposed project.

16. If known, (1) describe the expertise, resources, and/or technologies you would like from Learning Technology. Possibilities include consultation and training on a wide range of applications, tools, and processes and limited design work, as well as assistance in identifying and obtaining new technologies. Also (2) describe how Learning Technology support is critical to the proposal's success.

17. Beyond sharing results with Ohio State colleagues, in what ways will the project findings be disseminated and shared? Describe any potential interdisciplinary uses of the proposed project.

18. Describe any other information the review committee should know about this project or take under consideration. Concept maps, visual illustrations, and other application supplements may be sent via email to ltgrants@osu.edu. Please include the confirmation number you receive upon submission with your materials.

19. Application submitter (if different from the principal Project Lead)

First Name

Last Name

Email Address

20. I agree to and accept the following statements:

	I have read and agree to the expectations as described in the impact grant overview page (http://go.osu.edu/IG).
	I have contacted my supervisor, chair, or dean (if applicable) to send a letter of support via email to ltgrants@osu.edu with myself carbon copied for my participation in this project.
	I understand this application will not be considered until the letter of support has been received.

Departmental Impact Grant 2012 - Round 2