Application for CELS Funding

Applicant Information

First Name:*

Last Name:*

Relationship with Loyola:*

Faculty

Staff/ Admin

Graduate Student

Undergraduate Student

Community Partner

Alumni

Other

Loyola department, office, or major, or for partners, neighborhood or institutional affiliation:*

Email:*

Phone Number:*

Other Contact:

Grant Information

Which of the following best describes your plans for this grant?*

Professional Development

Project Funds

Course Operating Funds

Campus-Community Partnerships in Knowledge

Class on the Corridor

Community-Engaged Scholarship

Other

If you selected "other" above, please explain:

Project Title:*

Course Name and Number (if applicable):

Amount Requested:*

Date of Event or Projected Completion of Grant Project:*

Date by which spending of your funds will be completed:*

Funds Requested or Obtained from Other Sources

Amount, if pending:

Amount, if obtained:

Proposal

Describe your project, how it fulfills grant guidelines, how it supports research and/or teaching, any collaboration or sharing with community partners/members, and how the requested funds will be used:*

Funds will be distributed by check or payroll disbursement. Please save all receipts and submit them to our office for reimbursement.