eLearning Professional Development Grant

eLearning Professional Development Grants are designed to facilitate professional development activities that increase student engagement, facilitate greater instructor efficiency, and enable anytime/anyplace learning by extending eLearning or information technology skills and knowledge beyond customary job training. Recipients are awarded up to $2,000 (funding requires a 1:1 match (cash or in-kind) from unit, department, or other source). Please note, this grant cannot be used toward funding production work. The Office of Distance Education & eLearning program is supported financially from the Wide Open West (WOW!) Affinity Program.

This online form does not permit saving work and continuing at a later time. Thus, please keep a draft copy elsewhere (Word, Notepad, SimpleText, etc.) before submitting your form.

Contact ltgrants@osu.edu with questions regarding this grant or application form.

1. Person requesting grant funds

First Name

Last Name

Department, unit, or area

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Preferred Phone Number

Fax Number

Mobile Phone

URL

2. Co-submitter (if applicable)

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

3. Department Chair, Director, or Dean (if not person requesting funds)

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

4. Financial officer for department, unit, or area (if known)

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

5. The proposed eLearning professional development activity can best be described as being for:

Please enter an 'other' value for this selection.

6. Concisely describe the proposed professional development activity. Also, include weblinks to additional resources, if applicable (e.g., conference site/program, speaker information, and so on).

7. Describe how your proposed activity will impact the professional growth goal for those involved.

8. What role(s) will you play in the proposed activity?

Participant
Presenter
Coordinator
Other Please enter an 'other' value for this selection.

9. Describe how you plan to share what you learned with others.

10. Please describe the total amount of the event and how much funding will come from ODEE and how much from other sources.

Note, there is a 1:1 (secured funds:ODEE funds) ratio requirement for this grant. ODEE contribution maximum is $2,000.
For Per Diem rates, visit: http://controller.osu.edu/travel/travel-perdiem.shtm

	Funds requested from ODEE ($)
	Funds secured from other sources ($)
	Funds not yet secured from other sources ($)
Total : 0

11. Describe how the total funds will be used (i.e., please provide a rough budget breakdown).

12. By what date do you anticipate being finished with your proposed professional development activity?

calendar (MM/DD/YYYY)

13. Describe any other information the review committee should know about this project or take under consideration.

14. Application submitter (if different from the person requesting funds)

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

URL

15. I agree to and accept the following statements:

I have read and agree to the expectations as described in the eLearning Professional Development Grant overview page (http://go.osu.edu/PD).
I understand this application will not be considered until the letter of support has been received.
I am willing to lead a workshop based on the knowledge/skills I acquired through this grant.