| Course Prefix, Title & Number: | _______________________________________________ |
| Principal Investigator: | _______________________________________________ |
| Academic Rank: | _______________________________________________ |
| Department: | _______________________________________________ |
| Campus Address: | _______________________________________________ |
| e-mail Address: | _______________________________________________ |
| Telephone and extension: | _______________________________________________ |
Course Description (also attach a copy of most recent syllabus):
Instructional methods used in course delivery:
Is there a lab section associated with this course? Yes _____ No _____
If funded, the Web-based course will be offered: Year _____ Semester _____
Date submitted: ________________
Proposal must be accompanied by a detailed proposed budget. The funds may only be expended for items necessary to the proposal. The computer resources of the College are available for use in any proposal without charge. Departments may chose to match College awards.
| Category | Cost | Description |
|---|---|---|
| Supplies | $__________ | _______________________________________________ |
| books | $__________ | _______________________________________________ |
| software | $__________ | _______________________________________________ |
| $__________ | _______________________________________________ | |
| Equipment | $__________ | _______________________________________________ |
| $__________ | _______________________________________________ | |
| Consulting | $__________ | _______________________________________________ |
| programming | $__________ | _______________________________________________ |
| Other | $__________ | _______________________________________________ |
| $__________ | _______________________________________________ | |
| Total Cost | $__________ |
| Principal Investigator: | _______________________________________________ | Date: ___________ |
| (signature required) | _______________________________________________ | |
| Release time: | _______ hours per week from __________ to __________ | |
| _______ hours per month from __________ to __________ | ||
| Department Chairman: | _______________________________________________ | Date: ___________ |
| (signature required) | _______________________________________________ |