Global Encounters Support (GES) Grant Proposal Template Application Checklist: Submit within 10 business days after event/program:

☐Completed Cover Sheet (this page) ☐ GES Grant Final Report ☐ Project Proposal (next page) ☐ 8-10 High Quality Photos ☐ GES Budget Table (page three) ☐ Completed Media Release ☐ PI tax and immigration sign-off, RSO Advisor or Departmental and Dean Approvals (below)

Name of P.I. : Click here to enter text. Project/Event Title: Click here to enter text. Name of Co- Total Amount Click here to enter text. Click here to enter text. P.I.: Requested from OIP: Date(s) of Expected Time Frame Click here to enter text. Click here to enter text. Project/Event: for Use of Funds: IMMIGRATION AND TAX REQUIREMENTS PI acknowledges that he/she has spoken with the following individuals regarding the immigration and tax requirements should the proposal involve any guests being brought to WKU’s campus and compensated:  Lauren Ossello, Executive Legal Assistant  David Lewis, Tax Compliance Accountant ☐ Check the box to indicate having read/completed the above statement Checking this box serves as an electronic signature of the PI/APPLICANT SIGNATURES Electronic signatures are accepted When submitting the final application, the PI/APPLICANT must copy all signatories on the email or the application will be considered invalid. By signing below, I acknowledge my support for proposed project and budget.

Sign/type here: Click here to enter DEAN APPROVAL text.______(For requests over $500) Dean’s Signature Date ☐ Electronic Signature Verification (Checking the box and typing name serves as verification of the electronic signature)

By signing below, I acknowledge my support for proposed project and budget.

Sign/type here: Click here to enter DEPARTMENT APPROVAL text.______Department Head’s Signature Date ☐ Electronic Signature Verification (Checking the box and typing name serves as verification of the electronic signature)

RSO ADVISOR APPROVAL By signing below, I acknowledge my support for proposed project and budget. If applying on behalf of a WKU registered student organization Sign/type here: (RSO), only the RSO’s advisor Click here to enter signature is required text.______

1 RSO Advisor’s Signature Date ☐ Electronic Signature Verification (Checking the boxing and typing name serves as verification of the electronic signature)

GLOBAL ENCOUNTERS SUPPORT GRANT PROJECT PROPOSAL GRANT APPLICATION QUESTIONS: 1. State clearly how this project will meet any of the nine priorities listed in the GES RFP.

1. Click here to enter text.

2. Briefly describe your program/event.

2. Click here to enter text. 3. What are your program/event’s objective(s) and learning outcomes? How will these be assessed?

3. Click here to enter text.

4. Who is your target audience(s) and how will they benefit? (Click all that apply)

☐ Students ☐ Faculty ☐ Staff ☐ Community ☐ Other, please specify: Click here to enter text. 4. Click here to enter text. 5. Will your program/event be accessible to WKU’s regional campuses? ☐Yes, I will use WKU’s Interactive Video Services to livestream and/or record the event. Click here to learn more about IVS. ☐ Yes, my program/event will take place at the (please select regional campus) campus. ☐ No. If not, please specify why: Click here to enter text. ☐ Other, please specify. Click here to enter text. 6. Will there be any cost to participate? If so, please explain and justify cost.

☐ Yes, please justify why: Click here to enter text. ☐ No 7. In what ways are you maximizing the requested funding (e.g., through multiple events? Cross- college/departmental collaboration?) 7. Click here to enter text. 8. Does this program build on any existing program/project? If yes, please briefly describe the program/project.

8. Click here to enter text.

9. What will this investment produce over the next several years?

9. Click here to enter text.

10. What is your marketing strategy and how many people are you expecting to attend? Please review the Event Resource Guide for suggestions.

10. Click here to enter text. GES Grant Budget Table Have you If yes, list the amount/year(s) awarded: Click here received funding What outcomes resulted from your previous award(s)? Justify how this current request advances your previous or current international scholarship or launches a new, different initiative that aligns with your long-term professional from OIP before? goals. Click here ☐ No ☐ Yes Cost Share Source(s): List department, college, University, or outside sources of monetary support. ☐Pending, Date of funding notification: Source: Click here to enter text. Click here to enter a date. $ Click here to enter amount ☐Confirmed ☐Pending, Date of funding notification: Source: Click here to enter text. Click here to enter a date. $ Click here to enter amount ☐Confirmed ☐Pending, Date of funding notification: Source: Click here to enter text. Click here to enter a date. $ Click here to enter amount ☐Confirmed *NOTE FOR NON-WKU RELATED TYPES OF MONETARY SUPPORT: For external grants, attach with this application a letter from organization or copy of submitted grant. For any other sources outside of the University, please provide contact information (email and phone number) of funding source: Click here to enter text.

USE OF FUNDS For questions on how to complete this table, please contact [email protected], 745-3975. COST SHARE AMOUNT REQUESTED For each item, please provide a (Cost share by other ITEM from OIP detailed explanation and justification funding sources is (May not exceed $1,500) for each project expense. required) Materials, supplies, $Click here to enter text. $Click here to enter text. Click here to provide a brief description. equipment (including rentals)

Marketing & promotion $Click here to enter text. $Click here to enter text. Click here to provide a brief description.

Travel (Professional speaker $Click here to enter text. $Click here to enter text. Click here to provide a brief description. of event) Lodging $Click here to enter text. $Click here to enter text. Click here to provide a brief description.

Food $ Click here to enter text. $Click here to enter text. Click here to provide a brief description. Honoraria/entertainment fees ($1,000 maximum for $Click here to enter text. $Click here to enter text. Click here to provide a brief description. honoraria)

Miscellaneous $ Click here to enter text. $Click here to enter text. Click here to provide a brief description.

Total amount requested Total amount from Cost Total amount requested from from OIP: Share: Click here to provide a brief description. OIP/Cost share $Click here to enter text. $Click here to enter text.

Combined Total Costs $ Click here to enter text.

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