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Course Connections Application

Please fill out this form to apply for funding for a Course Connection Grant. Fill out all sections completely to ensure proper consideration of your application. All submissions must be received four weeks prior to the activity. You will not be able to change your application once you have submitted it. Please hit "print" before you submit if you would like a copy of your application. Fields marked with a * are required fields. Thanks!

Contact Information

First Name:*

Last Name:*

E-mail Address:*

Campus Phone Number:*

Campus Address:*

Campus Zip:*

Education/Affiliation

What is your affiliation with U-M?

What school or college are you associated with?

Name of Department:
(dance/drama/etc.)

Marketing Information

How did you learn about the Course Connections Program? (check all that apply)
Advertisement (Michigan Daily, Program Book)
A friend told me
Arts at Michigan website
Arts Info e-Newsletter
Bus Sign
Diag Board/Banner
Event (Festifall, Winter Fest, Artscapade, etc)
Flyer
From Arts at Michigan staff
From Faculty/Staff
Other

Course Information

For activities that reach more than one course (NOT one cross-listed course) or additional student groups, we will consider requests up to $1000.

Course title:*

Course number:*

Course enrollment:*

Number of participants in your group:*

If you receive funding, we will request a class contact list for our records.

About the Proposed Activity

Name of the activity:*

Date of activity [mm/dd/yy]:*

Time of activity:*

Location of activity:*

Please describe your proposed activity.

How will you integrate this activity into your course content?

Please describe how your proposed activity meets the following three required criteria:*

    Employ faculty leadership and expertise to promote student learning through the arts.

    Complement course content and be integrated into classroom discussions.

    Instill a sense of the power of the arts to enhance understanding, build communities (including the community of the classroom), and transform lives.

Please describe how your proposed activity meets one or more of the following four criteria:*

    Expose students to unfamiliar art forms and communities.

    Employ the arts as a means of addressing challenging topics.

    Increase understanding or proficiency in the arts.

    Involve diverse communities for cultural exchange.

Please discuss your plans for sharing your project with a broader U of M community.

Activity Costs

Be sure you have researched all available group discounts before you complete this section.

Please provide a brief itemized budget of your costs.*

Please specify any departmental funds available to help support your activity.

Will your excursion require transportation?*

If yes, please explain your transportation needs, costs and arrangements.

What is the total amount of funding you are requesting from Arts at Michigan?*
$

Account Information

If you have the following information handy, feel free to provide it now. If not, leave the following fields blank. If you are awarded funding, we will then request this information from you so that we may transfer funds.

Financial Contact Info:

Name:

Phone:

Email:

FUND: General Fund Only 10000
DEPT ID: (6-digit numeric)
EXPENSE CLASS: (5-digit numeric)
PROGRAM: (5-character alphanumeric)
PROJECT/GRANT: (7-character, not required)

    

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