Grant Proposal Form

1. Title of the New/Renewal Grant Project (complete title)

Abstract: Briefly describe the proposed project and how it will directly benefit Antelope Valley College.

2. Amount of $ 3. An t el op e V al l ey College’s Role Grant Applicant Partner

4a. Funding Source 4b. Agency Name Public (State or Federal) Private Foundation Corporation Amount $ Requested/Granted

6. Grant/Project Timeline Start Date Completion Date Time Extension Yes Allowed? ☐ No

D8.o eFs uthne dpriongpo sSeod uprcerojec Ct roeqmuirem imtmatcenhintsg funds or in-kind contributions? No Yes (explain) 10. Institutional Learning Outcomes (ILOs): Indicate the ILOs that the proposed project will address (check all that apply). Provide students with an environment which supports learning and facilitates student success.

Increase the transfer rate to Cal States, UC, and private colleges

Expand and diversify Career Technical Education options for student

Increase student success in Basic Skills and ESL course

Utilize campus resources efficiently and effectively

☐ Maintain and enhance community partnerships

Increase resources to enhance technology's support of the college mission and processes

11. Plan Alignment: Check box if the proposed project aligns with institutional plans. If so, how? Educational Master Plan Explain:

Program Review Explain:

Explain: Other Plan: ______

13. Staffing Plan: What positions (new/continuing) staff/faculty or other positions will be created to meet proposed project objectives? List below:

15. Technologies: What computer or other technologies and support will the proposed project require? List below:

16. Research: What research and analysis services will the proposed project require? List below:

17. Facilities Use: What facilities use (e.g., offices, storage) is required for the proposed project? List below:

18. Review/Endorsements Date of submission Grants Initiator: Vice President Signature: PI/PD Signature: Chief Business Official (CBO) Signature: Area Dean/Supervisor Signature: 19. Approval Status goals and objectives of Antelope Valley College and is S T A TUS P ENDI N G : More information is approved for full development. required before a determination can be made. A P P RO V E D : This proposed project supports the Superintendent/President Signature Date: