NCHC Portz Grant Application

1. Information about Applicant & Applicant's Institution

First Name

Last Name

Faculty Position

Institution

Department

Phone Number

Fax Number

Email Address

Street Address

City

State

Zip

Country

2. Project Title

3. Budget

	NCHC Portz Funds Requested
	Institutional Funds
Total : 0

4. Project Start Date This question requires a valid date format of MM/DD/YYYY.

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5. Project End Date This question requires a valid date format of MM/DD/YYYY.

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Please upload a supporting statement below (not exceeding two pages in length) which includes the following: 1. Detailed description of the project, its goals, its rationale, and explanation of how it is innovative, and a statement as to how it will help your honors program/college in terms of one or more of the Shared Principles and Practices of Honors Education. 2. Description of beneficiaries of the project at your institution and outside your institution, if applicable. 3. Institutional support of the project (at present and for continuation of project in the future, if applicable). 4. Method of reporting outcome and value to the NCHC Awards and Grants Committee and the honors community. Project results should be presented at an NCHC or regional honors conference. NOTE: NCHC Portz Grants may not be used for food, refreshments, on-campus space rental, or for student travel for anything (including Conference).

6. Supporting StatementPlease click submit after you attach your file.

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Please upload your detailed budget below. Include a column for the anticipated amount contributed by the institution and the amount requested from the NCHC Portz Grant. Expenses to be detailed are as follows: Non-Personnel - Supplies - Equipment - Travel - Other Personnel Expenses - Institutional Faculty/Staff - Honoraria. A budget template is available for your convenience: Portz Grant Budget Template.

7. Proposed Project BudgetPlease click submit after you attach your file.

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Institutional Certification
By clicking on the submit button below, I certify that the information contained in the NCHC Portz Grant Application represents an accurate description of the project and actual dollars which the institution will commit to it, and I agree to submit a report to the NCHC Awards and Grants Committee upon completion of the project. The report is to be an accounting of the expenses and a one-paragraph summary of the project results with references to any honors conference presentations (or proposed presentations) that highlight the project. Final reports are expected within one year of the award and should be sent to the NCHC office. I further certify that I am authorized to commit institutional funds to this purpose.

NCHC Portz Grant Application

Applicant Information