This on-line application does not have a “save” feature. All materials should be composed and compiled in a separate Word document, and then cut and pasted into this form. Please note word limits as you are creating the draft of your materials.
Applicants are encouraged to collaborate and involve multiple partners in the development of WELFund projects.
Required fields are highlighted in yellow.
Project Representative:
Classification: Selected Faculty Staff Student
Email:
Campus Address:
Campus or Local Phone Number:
TOTAL dollar amount requested from WELFund:$
TOTAL project budget:$
Abstract Description of Project (maximum of 250 words):
Time span of project: One year: July 1, 2009 – June 30, 2010 One year extension: July 1, 2009 – June 30, 2011
If requesting funding for a two year project, please explain your need for this one year extension.
Additional partners and sources of funding:
Brief 100-word biography detailing your qualifications for this project:
Proposal narrative: Please type a narrative response addressing the following questions.
1. Write an overview of your project. Describe fully the roles of all participants, and the nature of grant activities. (750 word limit)
(250 word limit for questions 2-6)
2. How does your project address one or more of the four WELFund focus areas listed below?
3. What is the number of project beneficiaries and anticipated benefits?
4. What would success look like for this initiative, and how will this be measured?
5. How will you disseminate the results of your work? (Examples include: conference presentations, publications, lunchtime talks, articles in UNotes or Informer)
6. Provide explanation of grant expenditures as they relate to specific grant activities and over-all purpose.
Partnership information (If applicable): Community partners must submit a letter of commitment on organizational letterhead, and any University faculty or staff designated as project partners or participants—but not serving as primary applicants—must articulate their commitment in an attached email or letter. Please indicate below those partners who will be submitting letters of commitment and support. These should be sent to Jennifer Sanborn via email at sanborn@hartford.edu.
Detailed budget overview: Estimate all project expenses by major category, indicating those funds to be provided by WELFund as well as those potentially supported by additional co-sponsors. Examples of expense categories include materials and supplies, equipment, honoraria, special project salary support*, travel, meeting and conference expenses. Use the budget form to outline project costs and anticipated contributions.
*Please budget a University fringe benefit contribution of 7.65% of any salary for faculty and staff. For example, a special project salary of $2500 should have an added $191.25 included in the total budget to accommodate this University expense. The budget form provides a formula to automatically calculate this addition.
All WELFund grant applications must be approved by the applicant’s department head and dean/vice president. Ideally, you have shared a draft of your proposal with them prior to submitting this form. Please indicate below the names and email addresses of those we should contact for approval.
Department head:
Name: E-mail:
Dean or vice president:
