Please read the “Application Guidelines for CR Grants” before completing.
Submit completed application electronically as a Word document attachment to ltc@uvic.ca. Submissions will not be accepted in .PDF format. Applications must be submitted electronically. Rename your file <Surname_First Name_CRGrant_18> e.g. <Doe_Jane_CRGrant_18>

Principal Applicant:	Phone:	
	
Department/Program:	E-mail:	

	Co-Applicants:	Phone: 	

	Department/Program: 	E-mail:	
	
Project Title:	

Abstract (50-word max):	

	

Which course or courses will be impacted by this project? .........................................................

How many students per year would be impacted by completion of this project?.......................

Have you received approval from the Human Research Ethics Committee?	____Yes	____No
The grant money will be transferred to your account only after notification is received of approval or that an ethical review is not required.

Total CR Grant Amount Requested: $	

Prior LTSI Grant funding?  ___Yes   ___No       If Yes, Year(s)?_____________  
Have you applied for or received any other funding for this project?  _____Yes  _____No

If yes, please explain.  		

Required Signatures (electronic versions acceptable – see guidelines)

Principal Applicant Signature:	Date:	

Print Applicant Name: 	 Email:		

Chair/Director/Dean Signature*:	Date:	 

Print Chair/Director/Dean Name:	Email: 	
*If applicant is a Chair or Director, the Dean’s signature is required.

Budget Table
Item	Cost	
1. Salaries You must adhere to University Policy and Procedures. Rates of pay must include 4% vacation and then 8% benefits. See application guidelines for examples.		
Type (e.g. RA)	Total hours	Rate of pay	Comment		

					

2.  Supplies and Operating Expenses:  Include all applicable taxes, etc.
Note: Journal subscriptions, society memberships, and supplies normally covered by the department are not covered. 		
Expense Item	Comment		

			
			
3. Travel
Note: Costs of travel to present at scholarly meetings not covered.		
Travel item	Comment		

			
4.  Other (please specify)		

		
Total costs
		
Less funding obtained from other sources, if applicable
		
Total amount requested

Please follow the CR Grant Guidelines.
Write your answer directly below each question, respecting the word limit.

1)	What are the specific needs and goals of the proposed curricular project? (limit 400 words)

2)	What do we already know (either in your own discipline or from other disciplines) that might help with your curricular implementation? (limit 300 words)

3)	What are your student intended learning outcomes and your teaching goals? (limit 200 words)

4)	How will the project improve the active learning and engagement of students targeted by the proposed curricular renewal? (limit 200 words)

5)	How will the project improve the congruence of student learning outcomes, course activities, assignments and assessments of student learning? (limit 200 words)

6)	What are the major steps and benchmarks involved in the curricular renewal implementation? (limit 400 words)

7)	How will you make your work accessible? (limit 100 words)

8)	How will your project budget be spent? (limit 200 words)

9)	What, if any, additional help with your project might you like from the LTSI or other campus partners?

10)	What else, if anything, should we understand concerning this proposal? Are there other issues, problems or knowledge that you would like to share with us that would help us to fully appreciate your proposal?