Leadership in Community Service Learning Grants – For Students
Submission deadline: Sept 29, 2017
Part 1: Principal applicant information
Department or Student Organization
Faculty Advisor or MASU Executive
Amount requested from the fund:
Part 2: Summary project information
Community partner or organization:
Primary contact in organization:
Partner website (if available):
Type of organization/primary function:
Names and e-mail addresses of student participants in this application, if available:
Part 3: Benefits of participation
What are the service needs of the partner organization? How will your participation
benefit the partner organization?
What are the learning objectives of this community service learning project?
Provide a brief action plan for your project with dates and timelines?
Describe any work completed or in progress that is relevant to this application.
Part 4: Budget and financial data
Provide all relevant budget information. Receipts will be required for reimbursement.
Travel (include ground travel (personal vehicle — rate $0.39/km; car rental; taxi); tolls, parking, bus, ferry, etc.; and airfare.)
Other (please explain):
Expenses covered by other sources:
Total request (total budget less expenses covered by other sources):
Please include any specific comments about or context for budget items you would like to draw to the Committee's attention:
Other sources of support for which you have applied (please include the name of the source, the amount requested, and the amount received.)
Part 5: Submission of application
I certify that the information provided in this application is complete and accurate to the best of my knowledge.
Your submission also requires approval by a Faculty Advisor or MASU Executive. No letter of support is required but the individual may be contacted by the Adjudication Committee to confirm their endorsement.