CPCC College Fellows - Learning Fellows Application by HC120913141337

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									College Fellows Program - Community Fellows Application


Thank you for your application.
Please complete the following information. Save the document (your name and the date you complete the application)
and send it as an attachment via email it to anne.mcintosh@cpcc.edu)
Direct questions about the application to Anne McIntosh.
         Anne McIntosh
         Chair, College Fellows Program
         Transport Systems Building 228
         North Campus
         (704)330-4161


We accept applications continuously but we will not take action on an application until the date for the annual Fellows
cycle has been announced on the College Fellows homepage.


APPLICATION:
        Today’s Date Enter today's date here
        Please check one: Individual Project?         Or Team project?


        Applicant’s Name or Team Leader name:
        Enter your name here as either an individual applicant or as the team leader of a team project


        If applicable, enter the members of your team and their programs/divisions:
        Enter the names of all the people on your team and their programs/divisions


        Campus Address: Your campus office address


        Campus Telephone: Your campus extension


        Program/Division: Your CPCC Program and Division


        Worklife with CPCC: Enter here how long you have worked for the college


        Job Title, change this “instructor” default if you are not an instructor: Instructor


        Division Director Email Acknowledgement/OK
        Please email your Division Director about your application and copy and paste the response here
        Dean Signature Email Acknowledgement/OK
        Please email your Dean about your application and copy and paste the response here


Project Abstract:
        Describe your project succinctly. Include an overall description of your project and the relevance of the project to
        our learning-centered college. Explain how the project will benefit faculty and students within and, possibly,
        beyond your division.     If you are professional staff, explain how the project will benefit a community-based
        organization and CPCC.
        Write or copy and paste your Abstract here


Project Timeline:
        Outline by date what you plan to accomplish and when. Also include how much reassigned time will be needed to
        accomplish your project.     If your application is for a team, please estimate the reassigned time for all team
        members.
        Enter estimated reassigned time here


        A timeline is critical to the completion of the project. The default timeline is for 20 weeks (16 week semester plus
        2 prior to the semester and two past the semester. If your project exceeds the default, map out the project weekly
        until your projected completion date.


        Week 1      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 2      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 3      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 4      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 5      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 6      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 7      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 8      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 9      Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 10 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 11 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 12 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 13 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week14 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 15 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
        Week 16 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
       Week 17 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
       Week 18 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
       Week 19 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
       Week 20 Enter here the actual date of the week and also your estimation of the project tasks for this time period.
       Additional Weeks Enter here additional weeks necessary for the completion of your project and also the project
       tasks for each week.


Document your successes and effectiveness as a teacher or professional staff in the community college.
       Please “check” at least two items below that you can make available to the committee.


             A portfolio of innovative assignments, model student work, or a portfolio that includes descriptions of
       successfully completed projects as a professional staff


            A description of publications, conference presentations / conferences attended or any awards received, or
       descriptions of presentations or publications relating to your work as a professional staff


            A written philosophy of teaching, or a statement that describes what motivates you in your position as a
       professional staff


            A narrative of the instructional methods you have recently applied in the classroom, in which you discuss the
       ways that your teaching has changed, what has prompted these changes, and their effects on student learning, or
       a statement in which you describe how you have responded to a range of challenges as a professional staff


            Teaching data such as student opinion survey results, and classroom observation results, or any additional
       information that clarifies your contributions to the community college as a professional staff
Estimated Budget


   Enter the dollar amount you anticipate for applicable budget items.
   Research Materials:


       0.00 Purchase of research books


       0.00 Purchase of research journals


       0.00 Purchase of articles online


       0.00 Purchase of updated versions of APA / MLA hardcopies or online templates


       0.00 Purchase of updated quantitative / qualitative analysis references germane to your field


       0.00 Purchase of licensing fees for use of instruments, measures, and/or surveys


       0.00 Copying PIN or card for photocopying of materials on-site


       0.00 Miscellaneous funds for photocopying of materials off-site


   Research Subjects / Participants


       0.00 Advertising for research subjects in newspapers, listservs, journals, etc.


       0.00 Honorarium to research subjects for participation


   Data Collection Expenses (estimate size of sample pool to use as your multiplier)


       0.00 Paper/photocopying of questionnaires, measures, instruments


       0.00 Toner/cartridges for photocopying of questionnaires, measures, instruments


       0.00 BO for photocopying at CPCC Printing


       0.00 Postage to mail research to research subject (Bulk mail is not available)


       0.00 Organizing folders or other means of sorting hard-copy data


       0.00 Special pens, markers, paints, or other supplies needed for data collection or analysis
    0.00 Digital camera, tripod


    0.00 Digital video recorder (for interviewing or data collection)


    0.00 Digital audio recorder (for interviewing)


    0.00 Transcription costs


    0.00 Mailing envelopes


    0.00 Reminder notices


    0.00 Return postage


    0.00 Return mailers


Travel expenses (for research purposes to gather data, interview subjects, get literature review from specialized
libraries or other institutions). There are travel grants available, but we still want to know the estimate of travel.


    0.00 Travel (road trips*mileage*travel*.445)


    0.00 Travel (airfare, train fare)


    0.00 Hotel


    0.00 Taxi-transportation


    0.00 Per Diem


    0.00 Entrance fees/registration fees for any event


Data Compilation/Data Analysis - Computer Needs


    0.00 Computer software needed (not provided by ITS)


    0.00 Computer software licensing needed (not provided by ITS)


    0.00 Printer or printer network capabilities (not provided by ITS or your Dept.)


    0.00 CDs, DVDs, web camera, videos, microphone, thumb/flash drives
    0.00 Stipend for second opinion on interpretation of results


Other Communication Needs


    0.00 Long-distance calling to subjects


    0.00 Long-distance calling to experts in the field


    0.00 Postage to mail correspondence to experts, colleagues


    0.00 Stipends to researchers/consultants for interviews, information, consultations (note: some consultants are
    self-funded and need financial support to lend you support)


Other Assistance and Support


    0.00 Stipend for work study student/assistant


    0.00 Stipend to Planning & Research for inputting data (e-surveys, e-measures)


    0.00 Stipend to Planning & Research for quantitative analysis


    0.00 Stipend to Planning & Research for qualitative analysis


    NOTE: Planning & Research will donate 15 hours to the College Fellows Program to assist with one survey, write
    the code and provide frequencies for the data. Beyond 15 hours, the cost is $25.00/hour for the P&R services


Submitting manuscripts to conferences, journals, other publishing outlets


    0.00 Photocopy of manuscripts


    0.00 Postage


    0.00 Hard copies of papers to conference participants


Travel Expenses (for conferences/presentation purposes). There are travel grants available but we still want to know
the estimate of travel.


    0.00 Travel (road trips*mileage*.445)
    0.00 Travel (airfare, train)


    0.00 Hotel


    0.00Taxi/transportation


    0.00 Per diem


    0.00 Entrance fees for any special events


Conference expenses


    0.00 Membership/convention fees


    0.00 Registration fees


Anything Else?


    0.00 Anything else? Enter here.


    0.00 Anything else? Enter here.


    0.00 Anything else? Enter here.


Total Estimated Budget


    0.00 Total Estimated Budget

								
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