Grant Application

First Name:

Last Name:

Job Title or Student Classification:

Department/Major/Program:

Title of Project/Conference:

Date of Research Activities or Conference:

Location of Research or Conference:

Conference Website (or attach information):

Amount Requested (up to $500):

Dates and amounts of PCSW grants received within the past 3 years:

Email Address:

Phone Number:

1. Please explain your proposed project and specifically how the requested funds will be used.*

2. Explain the relationship of your proposed project to the status of women and/or gender-related issues, as well as to your own professional development.

3. Please discuss how this activity would benefit the campus community.

4. List all professional development funding sources and amounts available to you this fiscal year (if any exist). Have you applied for other funding for this project? What is the status of those other funding requests?

5. Please attach an itemized budget. Eligible expenses include, but are not limited to: airfare, hotel, taxi, food, conference registration, organization membership fees, and research supplies.

Employees only: Do you anticipate being employed at Minnesota State Mankato the semester following disbursement?
Yes No