Fillable Ira Certification Application IRA Request for Certification

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Ira Certification Application IRA Request for Certification

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The Ira Certification Application IRA Request for Certification form is 3 pages long and contains:

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U.S.A. forms for California State University, Chico

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II. Criteria
• Be substantially related to an instructional program and a direct extension of the in-class experience;
• Have direct faculty involvement in the management and supervision of the activity/program;
• Provide an identifiable benefit to a significant number of students;
• Enhance the overall balance of university activities/programs and the breadth and balance of the IRA activities/programs;
• Cannot duplicate another university certified activity.
III. Funding Process
Following review of all proposals, the IRA Advisory Committee will submit their budget recommendation to the Provost for final
approval. Activity/program funding is an entirely separate issue, and certification does not guarantee IRA funding.
IV. Proposal Format
Utilizing the form below, please explain the proposed activity/program. Be sure to detail the project and include an estimated
budget. Once the dean/director approves the proposal, forward the request to Kim Williams, kwilliams@csuchico.edu. The
activity/program director and college/unit dean/director will be invited to a scheduled IRA meeting to present the proposal.
Upon the IRA Advisory Committee’s activity/program certification recommendation, the request is then forwarded to the
Provost for final approval.
REQUEST FOR CERTIFICATION
I. Eligibility
Activities/programs recommended for support from Instructionally Related Activities (IRA) funds must be
both certified by the Provost as academically valid, and must be declared eligible for IRA funding by the
Provost, in accordance with the criteria specified below. If an activity/program that has been discontinued
wishes to become recertified, they must reapply for certification.
Page 1 of 3
Activity/Program Director:
Campus Zip:
Campus Phone:
Campus Email:
Department/Unit:
1) Provide details on the proposed activity/program below.
Proposed IRA Activity/Program Name:
2) Please list at least two student representatives and their emails.
3) Is this group currently a recognized Student Organization through Student Life and Leadership or Associated
Students?
Page 2 of 3
REQUEST FOR CERTIFICATION
4) Tell us how your activity/program relates to your college/unit's educational mission and how co-curricular
activities impact the college/unit and the students.
5) IRA activities/programs must be integrally related to a formal CSU, Chico instructional offering. Which
course is the activity/program associated with?
6) How many students, faculty, and staff are involved with your activity/program? Please list each group as
a separate entry.
7) What competitions, if any, is the activity/program involved in? What are the dates of the competitions and
where are they held? How many students will participate in competitions (if
applicable)?
8) No certified IRA activity/program is funded entirely by IRA fees. Please explain your budget (income and
expenses). Include out-of-pocket costs paid by the students. Please submit this in a spreadsheet format as
an attachment with your proposal.
Page 3 of 3
10) The IRA Advisory Committee considers it important to have IRA activities/programs involved in
fundraising efforts to help support its full cost. Please explain any fundraising your activity/program is
involved with. List amounts and sources of funds.
11) If no IRA funding is available, how will your activity/program pay for its activities and competitions?
Are college/unit IRA reserve funds available? Does the college/unit have any other types of funding it
will provide, and if yes, how much will it allocate to your activity/program?
9) How much funding is the college/unit willing to allocate to the activity/program? List amounts and
sources of funds.
Activity/Progr
am Director:
Print Name:
Department Chair:
Print Name:
Dean/Director:
Pri
nt Name:
Date:
Date:
Date:
12) Proposal Approved by:
REQUEST FOR CERTIFICATION
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Ira Certification Application IRA Request for Certification

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Completed 25 February 2020

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