Fillable Internal Funding Application (Saint Cloud State University)

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Internal Funding Application (Saint Cloud State University)

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Internal Funding Application
The School of Health and Human Services encourages projects and activities that will enhance School and/or
Department initiatives and strategic goals through research, scholarship, and professional development.
Funding will be awarded to enrolled SHHS students and faculty applicants to offset expenses associated with
activities such as attending professional conferences, presenting research, developing community action
projects, etc. Priority consideration will be given to students who have not previously been granted funding
from the Dean’s Office.
Guidelines for funding consideration:
1. An Individual application may be submitted for a maximum of $250. A Group application may be
requested for a maximum of $1,000.
2. Requests must be submitted prior to the project or event start date.
3. The primary fund distribution method is by expense reimbursement. Some expenses may be eligible
for direct/up-front payment when coordinated by the Dean’s Office.
4. All SCSU and State of Minnesota policies and procedures will be followed. Student recipients will be
required to create a State Vendor ID to be eligible to receive reimbursements.
5. The decision of the Dean is final.
6. A reflection summary paper regarding the impact of the award shall be submitted prior to the final
fund distribution.
7. Award recipients acknowledge their name and project details may be published.
8. Award recipients must meet all obligations and submit required documentation prior to June 15,
2021 or risk forfeit of funding.
Application deadline: April 1, 2021.
Applications will be reviewed and considered as they are received, while funds are available.
Application process:
1. Complete this SHHS Internal Funding APPLICATION (page 2 and 3 only). Signatures of all individuals
involved are required.
2. Submit complete applications via email to jmsnippen@stcloudstate.edu
prior to the deadline
identified above.
3. Applicants will be notified of award decisions via email. The Project Lead will be notified in the case of
Group Project Applications.
4. A list of approved projects, awards, and recipients will be distributed to the SHHS community.
Do you have questions? Contact Jill Snippen @ jmsnippen@stcloudstate.edu
or 320.308.4235.
SHHS MISSION
We prepare our students to be leaders, scholars, and professionals in promoting and providing lifelong
optimal health and wellness.
SHHS VISION
We enhance the well-being of people and their communities through nationally recognized innovative
programs, rigorous practical experiences, and strong professional partnerships.
SHHS Internal Funding Application
The School of Health & Human Services encourages initiatives that will enhance School and/or Department initiatives and
strategic goals, through research, scholarship, and professional development opportunities. This application may be used
for individual or groups activities.
A. INDIVIDUAL APPLICANT INFORMATION (complete this portion if only one person is applying for funding)
Applicant Name
SCSU ID and Email Address
Student Major or Minor, or Employee Department/Program Affiliation
Students only: Projected Graduation Date
Please name others involved in this project (i.e., names of faculty, staff or students) and briefly explain their involvement.
B. GROUP APPLICATION INFORMATION (complete this portion if multiple people are applying for funding)
Department/Program Area
SCSU Employee/Student Names
(include Student ID for each student participant)
Project Lead: Please list the name, SCSU email address and telephone number of the person coordinating this request.
C. PROJECT SIGNIFIGANCE
Purpose of request/proposed use of funding: Explain the goal of this request (include title of project/activity, location, and dates of event, if applicable)
Impact & Evaluation: Explain how this activity aligns with SHHS and/or Department/Program initiatives and/or will provide a positive
impact related to research, scholarship or professional development. How will the results be incorporated, provide benefit, and/or be
shared with others? Note: Awardees will be required to submit a Reflection Summary regarding the impact of this award before final fund
distribution will occur.
D. EXPENSES
[RESPONSE REQUIRED] Anticipated Budget for this activity/initiative: Itemize the expense category and the anticipated expense for each
category. Itemized receipts and/or invoices will be required for all awarded expenses.
(EXAMPLE: $150 - hotel, $50 - mileage, $80 – conference registration)
Amount Requested from Other Sources. [REPONSE REQUIRED] NOTE: Expenses may only be funded once, regardless of funding source.
Funding received from other internal or external sources does not affect applicant eligibility.
Source(s)/ Amount(s):
Has other funding been secured? What source has provided funding? What amount has been provided?
S
ignature of Applicant(s) Date
SHHS OFFICE USE ONLY:
Approved
Denied
Defer for further information
L
ist APPROVED Expenses:
To
tal Approved Expense: __________
A
dditional Comments:
D
ean’s Signature: Date:
Date applicant Notified: __________
Reflection Summary Received: _________
Approved Expenses complete: ___________
Additional comments pertaining to expenses or summary: _________
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Internal Funding Application (Saint Cloud State University)

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Completed 1 February 2021

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