Project Initiator: Project Name: Submission Due Date: Department Chair: San Jacinto Community College Office of Resource Development Grant Proposal Worksheet

Instructions Part A: Please fill out this form first and submit to the Office of Resource Development at the District Building for recommendation before writing full grant proposal.

1. Funding Agency:

2. Amount of funding allowed; base amount requested; indirect rate requested; or any continuing obligation to the college after the life of the grant:

3. Project start and end dates:

4. Proposal submission dates: (Including Letter of Intent, or Preliminary Proposal)

5. Project overall purpose:

6. Which office or department will have budget responsibility:

7. Faculty or staff member(s) assigned as Principle Investigator or Project Director :

8. Explain impact on facilities and departments involved (i.e. CPD, specific academic department, student services, etc). Has discussion regarding this project occurred with these departments?

9. Staff to be hired:

10.Briefly explain match dollars, anticipated areas and specific personnel:

Signature of Campus VPI or Dean:

For Resource Development: Recommendation to proceed Recommendation to revise and resubmit Needs further discussion and development at this time

Signature from Resource Development:

1 Rev. 01/10/08 KCS Instructions Part B: Please fill out this form as a worksheet to use when writing the grant proposal. When completed, please send a copy to Resource Development at the District Building as notice of upcoming submission. A copy of this entire worksheet should also accompany the final written proposal for approval before submission.

11.How project meets college mission:

12.Describe which administrator is accountable and project responsibilities:

13.Define campus involvement and responsibility:

14.Value to area business:

15.Financial impact to college partners:

16.Value to community:

17.The Table below describes the value to the College and how it aligns with institutional annual priorities. Please check appropriate categories and describe:

Applies Value to College Describe

18. The table below lists objectives and linking key performance indicators related to the college mission. Check any that apply to your project; add objectives and/or key performance indicators if required.

Applie Objective Key Performance Indicators s

* Note : Elements of the San Jacinto College Mission specific ally addressed through this proposal are underlined.

Signature of Campus President or VC Instruction:

College Mission Statement: The mission of San Jacinto Community College District is to deliver accessible, affordable, high-quality post-secondary education programs designed to meet the needs of the citizens of East and South East Harris County. The primary focus of the College is helping students to achieve their personal and professional goals, create seamless transitions among educational levels and to prepare students to enter the job market or transfer to senior institutions. Through its programs and services and partnerships with industry, the College supports the economic growth of the community and the region.

2 Rev. 01/10/08 KCS