REQUEST FOR BASIC SKILLS INITIATIVE FUNDS
Completion/submission of this request does not guarantee funding.
Requestor: Discipline/Department:
Date of Activity: Total Funds Requested:
(must agree with chart on Page 2)
Activity Title: Location:
Which goal from the basic skills action plan does this activity support ? (please check all that apply)
A. Organizational and Administrative Practices
Create an environment where the teaching and learning of basic skills is critical to the
institution.
B. Program Components
Develop a meaningful research agenda and ensure that the information is disseminated
to all faculty, staff and students.
Incorporate key student services into instruction
C. Staff Development
Create an environment where professional development central to the teaching and
learning of basic skills.
D. Instructional Practices
Institutionalize Supplemental Instruction and Tutoring for Basic Skills Students
Briefly describe how this activity contributes to the attainment of the above goal(s) and the
approximate time needed to complete the activity if applicable
(attach any pertinent supporting
documentation):
Example: To increase access to textbooks for Basic Skills students and promote services.
Please identify the measureable outcome(s):
Example: Data on student use of textbooks in Tutorial Centers
