APPLICATION
INNOVATION FUND
12401 SE 320th St., Auburn, WA 98092 • (253) 833-9111 • greenriver.edu
Any Green River College employee or group of employees may apply for funds for efforts directly related to
increasing enrollment, improving completion and/or diversity and equity efforts.
Please complete this application, print and obtain necessary signatures and then scan and email along with the
budget worksheet to: innovationfund@greenriver.edu
PROJECT LEAD
Name: Title: Phone:
By submitting this fund application, I understand that I will be required to provide one or both:
1. Progress report to the College Council within a six month or other half way point within the project timeline.
2. Final written report containing measured evaluation and outcomes of funded project.
I have read the frequently asked questions and discussed this project with my supervisor or Dean.
Signature: __ Date:
PARTICIPANT(S)
Name: Name:
Name: Name:
DEPARTMENT(S) AND DIVISION(S) INCLUDED
Name: Name:
Name: Name:
PROJECT TITLE
PROJECT SUMMARY
(50 words or Less)
APPROVAL
Supervisor/Dean name:
Supervisor/Dean Signature: Date:
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359;
or by email at dss@greenriver.edu. Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
APPLICATION
INN
OVATION FUND
12401 SE 320th St., Auburn, WA 98092 • (253) 833-9111 • greenriver.edu
SCOPE OF PROJECT
(500 words or less per section)
1. Description:
Title project and give a brief overview of the project and how it specifically addresses one or more of
the college goals (enrollment, completion, diversity & equity).
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359;
or by email at dss@greenriver.edu. Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
APPLICATION
INN
OVATION FUND
12401 SE 320th St., Auburn, WA 98092 • (253) 833-9111 • greenriver.edu
2. Budget:
How much money are you requesting? Have you looked for other funding sources? How will the money
be spent?
Also complete the budget worksheet with a detailed accounting of how funds will be spent.
Are there other funding sources that could be used for this project?
Yes
No
Unknown
If yes, please provide details:
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359;
or by email at dss@greenriver.edu. Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
APPLICATION
INN
OVATION FUND
12401 SE 320th St., Auburn, WA 98092 • (253) 833-9111 • greenriver.edu
3. Outcomes and evaluation:
What results will your project have specifically improving enrollment,
completion and diversity & equity? How will you measure this? What is the current baseline data?
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359;
or by email at dss@greenriver.edu. Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.
APPLICATION
INN
OVATION FUND
12401 SE 320th St., Auburn, WA 98092 • (253) 833-9111 • greenriver.edu
4. Timeline:
When will you begin, when will you end. Included any key milestones.
5. Reporting:
Projects longer than six months will require a midway summary and a final report. Projects less than
six months require a final report.
Midway Summary at month:
Final Report at month:
This document is available in alternative formats to individuals with disabilities by contacting Disability Support Services at 253-833-9111, ext. 2631; TTY 253-288-3359;
or by email at dss@greenriver.edu. Green River College is an equal opportunity educator and employer. Learn more at www.greenriver.edu/accessibility.