Women and Gender Leadership Fund Application

Name Name First Last
Graduation Year
Email
Student ID Number
Campus Address Campus Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Mobile Phone Number Mobile Phone Number - ### - ### ####
Academic Major
Project Information
Name of Proposal
Funding Request for:

Funding Request for: Group Experience Individual Experience
For group experience, please provide the names and school/group affiliations of all teammates.
Which faculty or staff member have you consulted with about this proposal?
Email Address of Faculty/Staff Member
Proposed Project Dates

Start Date: Proposed Project Dates

Start Date: / MM / DD YYYY
End Date End Date / MM / DD YYYY
Travel Information
Does your proposal require travel?

Does your proposal require travel? No Yes, Domestic Travel Yes, International Travel
What is your travel destination?
Please describe how you have prepared for your international experience. (*All international travel must meet the requirements of the CMC Travel Policy.)
Project Proposal
Describe the objectives of this proposal in a 2-3 sentence summary.
Proposal Category

Proposal Category On-Campus Project (e.g., event, workshop, service project) Off-Campus Project (e.g., event, workshop, service project) Conference Research Project Other (Please specify):
Outline your planned activities.

For Project proposal: How do you plan to implement your proposed project? What are the planned activities, timeline for these activities, and the process of completion of these activities?
For Conference Attendance: What activities will you/your group participate in? Please discuss the relevance of attending this conference. How will participation in this conference enhance understanding of gender issues and how will the knowledge be applied?
For Research Proposal: Please discuss the research proposal, include a brief background and significance of the research project, methodology, and timeline to conduct the research.
Does the proposed activity involve partnerships with outside organizations (e.g., Habitat for Humanity)?

Does the proposed activity involve partnerships with outside organizations (e.g., Habitat for Humanity)? Yes No
Please explain what contact you have already had with the organization, how they are connected to the local community, what you expect to gain from the partnership, and if there is an administrative fee, what the fee would be.
Plan and describe how this project will contribute to the campus community. This contribution can be in any form, from a keynote presentation to a photo gallery, etc.
The Women and Gender Leadership Fund supports student development and awareness by encouraging open dialogue, developing a thoughtful and inclusive community, empowering women to embrace leadership roles, and providing professional development opportunities for students.

How does your proposal contribute to this mission, on an individual and/or community level?
Budget Request Form

You may access the Budget Request Form. Download the Form in Excel format, and fill out the Blank Budget Form tab.
Upload your detailed budget request in Excel file format.

Attach Files

Women and Gender Leadership Fund Application

Project Information

Travel Information

Project Proposal

Budget Request Form