<p>Global Encounters Support (GES) Grant Proposal Template Application Checklist: Submit within 10 business days after event/program:</p><p>☐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)</p><p>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.</p><p>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)</p><p>By signing below, I acknowledge my support for proposed project and budget.</p><p>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)</p><p>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.______</p><p>1 RSO Advisor’s Signature Date ☐ Electronic Signature Verification (Checking the boxing and typing name serves as verification of the electronic signature)</p><p>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.</p><p>1. Click here to enter text.</p><p>2. Briefly describe your program/event. </p><p>2. Click here to enter text. 3. What are your program/event’s objective(s) and learning outcomes? How will these be assessed? </p><p>3. Click here to enter text.</p><p>4. Who is your target audience(s) and how will they benefit? (Click all that apply)</p><p>☐ 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. </p><p>☐ 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. </p><p>8. Click here to enter text. </p><p>9. What will this investment produce over the next several years? </p><p>9. Click here to enter text.</p><p>10. What is your marketing strategy and how many people are you expecting to attend? Please review the Event Resource Guide for suggestions.</p><p>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.</p><p>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)</p><p>Marketing & promotion $Click here to enter text. $Click here to enter text. Click here to provide a brief description.</p><p>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.</p><p>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)</p><p>Miscellaneous $ Click here to enter text. $Click here to enter text. Click here to provide a brief description.</p><p>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.</p><p>Combined Total Costs $ Click here to enter text.</p><p>3</p>