What school or college are you associated with? Please select one Taubman College of Architecture and Urban Planning School of Art and Design Business School School of Dentistry School of Education College of Engineering School of Information Division of Kinesiology Law School College of Literature, Science, and the Arts Medical School School of Music, Theatre & Dance School of Natural Resources and Environment School of Nursing College of Pharmacy School of Public Health Ford School of Public Policy School of Social Work Other Department
Name of Department: (dance/drama/etc.)
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 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.
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:*
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.
Employ the arts as a means of addressing challenging topics.
Increase understanding or proficiency in the arts.
Involve diverse communities for cultural exchange.
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?* NoYes
If yes, please explain your transportation needs, costs and arrangements.
What is the total amount of funding you are requesting from Arts at Michigan?* $
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)