2011-2012 Working Groups Application Form

Application deadline:  May 1st, 2011

Name of Working Group     __________________________________________________________________

Choose one of the following (see descriptions in call for proposals):

_____ Joint Duke-UNC                                            _____ 2-campuses                                                    _____ 1-campus

Faculty Facilitator(s)

Name:                                            _____________________________________________________________________________________

Affiliation (campus):                 _____________________________________________________________________________________

Contact:                                         _____________________________________________________________________________________

Name:                                            _____________________________________________________________________________________

Affiliation:                                   _____________________________________________________________________________________

Contact                                          _____________________________________________________________________________________

Graduate Student participants           

Name:                                            _____________________________________________________________________________________

Affiliation (campus):                 _____________________________________________________________________________________

Contact:                                         _____________________________________________________________________________________

Name:                                            _____________________________________________________________________________________

Affiliation (campus):                 _____________________________________________________________________________________

Contact                                          _____________________________________________________________________________________

Name:                                            _____________________________________________________________________________________

Affiliation (campus):                 _____________________________________________________________________________________

Contact                                          _____________________________________________________________________________________

Note: add more lines for names if necessary

Proposal Narrative

Please provide a brief description of activities proposed for Fall 2011 and Spring 2012, using the following outline:

• Statement of general purpose including how the proposed activities will support serious academic research by faculty and graduate students, and/or prepare graduate students for such research.

• Indicate the overall goals and objectives of the proposed working group. 

• Identify at least three measurable learning objectives specifically linked to the group’s proposed activities.  (An example would be the proposed activity of mini-workshops in which graduate students present their work in progress, with the goal of teaching others about the topic of their research, while also getting feed-back from their peers as well as from faculty and students outside their own discipline.  This ties in with the working groups program’s overall goals of interdisciplinarity and collaboration.)

• Tentative schedule of activities planned for each semester. (These should be evenly distributed between the UNC and Duke campuses.)  For guest speakers, please provide as much detail as possible (i.e., name of guest, their affiliation, proposed date of visit, title of talk(s), description of other activities in which they would participate during their visit, co-sponsorship to be sought from other units, etc.).  Please also include a copy of each guest speaker’s curriculum vitae or short bio.

• Plans for promotion of activities among both university communities and the community at large.

• Name(s) of Graduate Student Coordinator(s) (if applicable).

Budget Request

Attach an itemized budget request, following the format of the attached Sample Budget.

Renewal of working groups funded in 2010-2011 requires submission of Report of activities (attached)

2010-11_wg_application_form