1. Funding Request Preface

This form is to be used to request funding for a project to fulfill the goals of the “Institutional Innovation and Effectiveness Plan” – the end result of the Partnership Resource Team (PRT) visits to Columbia College in Fall 2016, Spring 2017, and again in Fall 2017. This funding comes through the Institutional Effectiveness Partnership Initiative (IEPI) and the state chancellor’s office. Link to plan.

Approval must be obtained in advance to access these funds. Upon approval, the funds may be expended through direct payments (reimbursed from receipts) and through the district's pre-pay and purchasing procedures. While there is no cost limit per project, applicants should submit reasonable requests that are:
~ Tied directly to specific Areas of Focus, Goals, and Objectives of the IEPI plan; and
~ Pre-approved (before any purchases/expenses are incurred).

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* 1. Contact Information

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* 2. Project Name:

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* 3. Describe the item, service, travel, and/or project to be funded:

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* 4. When will this project take place? Indicate dates and when the funding will be needed (requests for IEPI funding will be considered until the funding has been exhausted).

Date
Date
Date
Date

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* 5. In short, the overall purpose of this grant is to improve the use of Student Learning Outcomes assessment results for institutional effectiveness and planning. Explain how the funding will be used to improve assessments of SLOs, PSLOs, SAOs, ISLOs and/or their use in planning for improvement.

The IEPI Plan includes three main focus areas with objectives. At the very highest level, these focus areas are:
  • Sustaining meaningful SLO assessment
  • Using SLOs to drive planning and sustain continuous improvement
  • Implement technology to support program review and outcomes assessment (eLumen)

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* 6. Cite the specific Area(s) of Focus, Goals, and Objectives from within the Institutional Innovation and Effectiveness Plan and explain how this proposal aligns with those objectives.

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* 7. What is the total estimated dollar amount requested? (Enter a $ amount, or a range, e.g., "between $X and $XX").  Flexibility will be granted within reason if actual costs mildly exceed requested amounts.

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* 8. Provide a broad-strokes budget for how the funding will be expended, indicating such categories as travel, hospitality, supplies, equipment, services, and stipends as needed. (Flexibility will be granted within the project to shift funding as needed as plans evolve.)

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* 9. Provide any other supporting details for this request:

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* 10. If documentation exists that would help explain this request, you can upload it here:

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.
Choose File
***End of Form***
Before you submit - - -> Please print out this request for your files.  (Go to File tab and select print preview then print.)

This request will proceed to the IEC Committee for a recommendation and if made, will be forwarded to the VPI and Committee Chair for consideration for funding.  AVAILABILITY TO REQUEST FUNDS ENDS ON JUNE 8, 2018.

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