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be submitted to Department Chair or Supervisor
Grant
Request Initiator:___________________________________________________
Department:________________________
Current Date: ___________________
Deadline
for Proposal:_____________________________________________________
Funding
Period (dates):___________________________________________________
Potential
Funding Sources_________________________________________________
______________________________________________________________________
What
are the grant’s goals and purpose?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
How
does that grant fit in with Manchester College’s Mission
Statement and current strategic plan?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What
stakeholders are involved? Have they been involved in planning?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
How
will the grant improve/expand services?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What
are the specific activities associated with the grant?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What
outcomes are anticipated?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
How
will the outcomes be evaluated?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What
population of students or other groups will benefit from
the grant?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Are
any matching funds required from Manchester College? If
yes list how much and any other restrictions.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Does
the grant require any collaboration with other institutions?
If yes, explain.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
What
other resources (space, personnel, etc.) will be required
to fulfill this grant?
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Preliminary
Signatures Needed:
Department
Chair (for faculty): ______________________________________
Date:
___________________________________________________________
Or
Supervisor
Vice
President: ___________________________________________________
Date:
___________________________________________________________
Executive Director
of Development: ___________________________________________
Date:
___________________________________________________________
Final
Approval
(When
Grant Is Ready to Deliver — See Checklist)
Vice
President: ___________________________________________________
Date:
___________________________________________________________
President’s
Approval: ______________________________________________
Date:
___________________________________________________________
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