Service-Learning High-Impact Practice Mini-Grant Application

Faculty/Instructor Name: Enter First and Last Name College & Department: Enter College & Department Email: Enter Email Address Phone Number: Enter Phone Number Course Name, Prefix, & Number: Enter Course Information Semester & Year of Course: Enter Amount Requested: $ Enter Requested Semester and Year Amount Community Partner Name and Contact Information: Enter Community Partner Contact Information

You may answer the following questions on this sheet, or attach a sheet with your answers:

1. What are the learning outcomes for your course and how will the service-learning component help you achieve these outcomes?

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2. Briefly explain how the requested funds will be used, and why these expenses are crucial to the delivery of your course.

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3. Please indicate with a “yes” or “no” your willingness to do the following:

a. Collaborate with OCEP on administering deeper assessments of student learning outcomes resulting from your service-learning course: Yes ☒ No☐

b. Ensure that your department’s scheduler has identified your course as “service- learning” when scheduling information is given to the Registrar: Yes ☐ No☒

c. Provide material (such as quotations from students and/or community partners; digital photos; video recordings; news stories; press releases) from your class so we can feature it on our website/in our newsletter: Yes☒ No ☒

d. Include the following acknowledgement in scholarly works resulting from this grant: “This work was supported, in part, by funds provided by the University of South Florida Office of Community Engagement and Partnerships”: Yes ☐ No ☐

OFFICE OF COMMUNITY ENGAGEMENT AND PARTNERSHIPS University of South Florida • 4202 East Fowler Avenue, ALN 185 • Tampa, FL 33620 (813) 974-4829 • www.usf.edu/engagement • [email protected]

Building Partnerships to Improve Our Communities e. Make a best effort in seeking other support to sustain the service-learning course in future semesters (e.g., consider adding a course fee to cover expenses associated with service-learning): Yes ☐ No ☐

● Please include with your application a copy of your syllabus and the letter of support from your community partner (if possible).

All applications, with course syllabus and community partner support letter, must be submitted electronically to [email protected] by 5:00 pm on the deadline date.

Service-Learning High-Impact Practice Mini-Grant Budget

Item Item Quantit Funding Requested Cost Total Category Description y from OCEP:

Supplies Equipment Travel Other Total project budget:

Total funding requested from 0 OCEP (not to exceed $5001):

1 Requests for additional funds may be considered under some circumstances. Please discuss any requests for funding above $500 with OCEP staff before submitting your application.

OFFICE OF COMMUNITY ENGAGEMENT AND PARTNERSHIPS University of South Florida • 4202 East Fowler Avenue, ALN 185 • Tampa, FL 33620 (813) 974-4829 • www.usf.edu/engagement • [email protected]

Building Partnerships to Improve Our Communities