Go WILD - Julianna Mulqueen Wilderness Grant Application

April 13th, 2011

First Name: *

Last Name: *

Email: *

Institution: *

Department: *

Academic Rank: *

Course # and Title: *

Approximate # of Students: *

Requested Grant Amount in $: *

Would you like help with trip suggestions, destinations, resources, or other questions?: *

Yes

Brief descriptive statement of proposal: *

Learning goals and objectives related to wilderness: *

Describe how the syllabus will be modified to include wilderness education, an experiential trip to the wilderness, and followup: *

Provide project budget (detailed expenses and income). Travel expenses, equipment, books or educational materials are valid expenses: *

Optional Budget Upload:

Matching funds provided by institution (Enter amount or %):

Resume:

Project Completion Requirements

Upon completion of this project, it is required to submit to VWC a brief report of results and evaluation of student outcomes. This report will include how many students participated, location of experiential trip, amount of time spent in wilderness, description of activities, and leader evaluation. A sampling of student evaluations of the experience should also be submitted.

Will you follow through on project completion requirements (above)?: *

Yes

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