<p> CRITICAL STUDIES IN GENDER, SEXUALITY & SOCIAL JUSTICE CURRICULUM DEVELOPMENT INITIATIVE “Educational Innovations for Social Justice Initiative: Gender & Sexuality Diversity and Transforming Learning Experiences”</p><p>Application Form 2017-2018 Deadline: February 28, 2017</p><p>Please review the Educational Innovations for Social Justice Initiative: Gender & Sexual Diversity and Transforming Learning Experiences Call for Proposals Objectives, Terms, and Instructions before completing this form. If you have technical questions about the form or require assistance, please email [email protected] Submit your completed proposal by email to: [email protected]. A complete Application package will include:  Application Form saved as PDF (maximum 5 pages)  ALL applicant/s CV’s saved as one bookmarked PDF</p><p>Proposal Title:</p><p>Project Leader: Name: Academic Rank: Department/Faculty: E-mail/Phone: Project Team Member(s): Name: Academic Rank: Department/Faculty: E-mail</p><p>Name: Academic Rank: </p><p>1 Department/Faculty: E-mail</p><p>Name: Academic Rank: Department/Faculty: E-mail Curriculum Development Deliverable(s): (check all that apply) (i) Design/Delivery of innovative student learning experiences. Please identify, if applicable, the program title and/or course title and number.</p><p>(ii) Curriculum development. Please identify, if applicable, course title and course number.</p><p>(iii) Course design or re/design. Please identify the course title and number.</p><p>(iv) Program re/designs. Please identify, if applicable, program title.</p><p>(v) Development of a curriculum module (to be delivered online or f-t-f or MOOC or mixed- mode) that can be integrated into an existing course and/or program. Please identify the course title and/or program name.</p><p>Target Students: Total number of undergraduate or professional program students who will be impacted by the course and/or program. You should draw this data from your unit/course/program enrolment data or enrolment targets.</p><p>Workplan Timeline: Indicate major milestones and anticipated date of course and/or program delivery.</p><p>Total funding Requested: $ </p><p>2 Signatures: Project Leader: Name Signature Date</p><p>Project Leader’s Department Signature Date Head: Name</p><p>3 Narrative Summary: (Maximum One Page) Include: Curricular Content – scope of academic knowledge; Disciplinary or interdisciplinary focus; Gap in existing curriculum addressed by proposal; Potential for proposed curriculum to increase the number of students’ access to knowledge concerning the complexities of gender and sexuality from multiple intersecting perspectives; Curriculum Unit Objectives; Plan for assessment of impact.</p><p>4 Budget: Provide a budget below, including a sound justification of each expense as it relates to your project goals. Description & Brief Justification Budget Category Amount (for each item, a brief rationale and details e.g., why/what and time period covered) Course release / buy-out $ (only applicable for the design of an online module or course or major program redesign or re- author of online course)</p><p>Course Instruction (e.g., to pay $ sessional to teach or for course to be taught extra-to-load)</p><p>Graduate Student Support (RA $ and/or GAA)</p><p>Instructional Design Support $ (what and who)</p><p>Curriculum and Assessment $ Support (what and who)</p><p>IT Support (what and who) $</p><p>Other Costs (hardware or $ software costs are not eligible)</p><p>Total Funding Requested $ (maximum: $15,000)</p><p>5</p>