APPLICANT INFORMATION
Middle
First Name
Last Name
Campus Extension
WCC Foundation
http://www.wccnet.edu/foundation/
Pre-Proposal Project Summary
Current Date
2. What outcome(s) do you intend to achieve through the project or with the equipment, or what problem are you addressing?
3. What is currently being done at WCC to achieve the above outcome(s)?
4. How many WCC students will be served? For how many semesters?
5. Will other populations be served and how many individuals will benefit? Please describe.
6. Describe the overall benefit to Washtenaw Community College:
7. Describe the overall benefit to the community at large (if applicable).
QUESTIONAIRE
MM/DD/YYYY
8. When is funding needed?
If applicable, when will the project end?
MM/DD/YYYY
Title
Other personnel (e.g. security officers, Information Technology Services) and estimated number of hours they will need to commit:
APPROVAL BY DEPARTMENT CHAIR
10. Estimate the total WCC Personnel time involved:
Personnel #1
Total hours spent on project
Personnel #2
Personnel #3
This proposal is consistent with Departmental policies, plans, and priorities and I support it.
I approve this proposal for grant-seeking purposes with the following reservations:
I do not support this proposal for the following reason(s):
Title
Name
APPROVAL BY DEAN
Are current or future funds from your division or department committed to support this initiative?
If yes, how much? $
Yes
No
9. Estimate the total project cost (non-personnel):
Total Estiamted Project Cost $
Percentage of project coodinator's/director's time spent on project (10, 25, 50)
Total hours spent on project
Total hours spent on project
Date
Signature
Date
Signature
Title
Name
I approve this proposal for grant-seeking purposes.
I approve this proposal for grant-seeking purposes with the following reservations:
I do not support this proposal for the following reason(s):
Equipment
Supplies
Travel
Printing/duplication
Assessment/evaluation
Other (e.g. insurance, subscriptions, etc.)
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