***Survey progress cannot be saved. Consider answering questions in a separate document first. 

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* 1. Name of Lead Applicant

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* 2. Email Address

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* 3. Current Job Title

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* 4. School

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* 5. Department

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* 6. Are there any key collaborators on this proposal?

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* 7. If yes, please provide the key collaborator(s) name, email address, title, program, and school.

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* 8. What is the title of the proposed program?

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* 9. What is the main goal of the proposed program? Please explain why it will provide benefit to PhD students. (100 words max)

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* 10. Please provide a brief description of the proposed program that includes:
  • the nature of the program (mentoring, networking, skills development, etc.),
  • how it will be structured,
  • how students will be served by the program,
  • who (or what types of individuals) will serve as mentors, trainers, organizers (as relevant),
  • how participation will fit with PhD students' schedules, and
  • any additional key details. (400 words max)

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* 11. Please explain why this type of program will be valuable to JHU PhD students. You may cite literature to support your answer and/or draw on the experience, expertise, or connections of the individuals or organizations involved. (200 words max)

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* 12. Describe the target audience: (e.g., all PhD students, or students of particular backgrounds, within a particular program or set of PhD programs, which school, or across JHU as a whole). (50 words max)

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* 13. Approximately how many students will be served by the program? (50 words max)

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* 14. How will you ensure that students know about and participate in the program? (50 words max)

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* 15. Please describe the administrative and leadership oversight of the program. Include the key substantive and administrative components of program execution and management. Who will be responsible for each component, and how will the quality of each component will be ensured? (150 words max)

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* 16. What does success look like for this program? (100 words max)

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* 17. Evaluation: Describe the plan to evaluate if program goals have been met. (150 words max)

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* 18. Sustainability: How will the program be sustainable beyond the period of pilot funding? Applications will be strengthened by local commitments (from programs or schools) to commit to sustainability if programs prove beneficial for their students. (150 words max)

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* 19. Budget: Please provide a line item budget for the event(s). Allowable expenses include salary support for coordinator if needed; guest visitor travel, parking, accommodation; refreshments for special or group events, etc.

Honoraria for outside guests are allowable but discouraged. Lavish or extravagant dining expenses are not allowed. Budgets should be in the range of $25K-$75K for 18 months.

If using an excel spreadsheet is preferred, please email the budget to vpgraduateeducation@jhu.edu and indicate below that it will be shared separately. 

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* 20. Will any matching funds or in-kind support be provided by your program/school? This is strongly encouraged.

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* 21. If yes, please describe. (100 words max)

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* 22. Any other information of which we should be aware? (OPTIONAL) (100 words max)

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