lrp assess day funding form

Winona State University

Long Range Planning And Assessment Committee

Request for Assessment Day Funds

** funding request deadline is January 11, 2003**

Department: ___________________________________________________

Narrative of Assessment Day Activities: (100 words max.)

_____________________________________________________________

Relevant Department Goal/s (from assessment plan):

_____________________________________________________________

Related Leadership Emphasis:

_____________________________________________________________

Participants:

Please indicate who will participating and whether or not the participation will be voluntary or required. If participation is voluntary, please indicate how you will be soliciting for volunteers.

Faculty:

_____________________________________________________________

Students:

_____________________________________________________________

Others:

_____________________________________________________________

Specific Activities / Agenda. (Seniors are available all day, Some juniors will be participating in a writing exam in the morning but will be available in the afternoon).

Departments should plan activities between 1 - 4 p.m.

_____________________________________________________________

Budget: ($250 maximum for departments including student participation in their assessment day activities, $50 maximum funding for faculty-only activities. Faculty may not receive stipends for participation in assessment day activities)

printing / duplication __________

refreshments __________ ** If you are planning to serve refreshments, you must include a request for approval to incur special expenses and a 1400 form with your request for funds**

standardized exams __________

honoraria (list recipients) __________

other expenses: __________

To apply for funding, this form, along with the special expenses form and 1400 form (if you are submitting a request for refreshments) should be submitted to the Assessment Office, 211 Somsen Hall, by February 15, 1999.

return to lrp assessment day home page / go to request for special funding