Community Engagement Fellowship Please complete the entire form to apply for a Community Engagement Fellowship. For more information contact Jessie Deal, Director of Community Engagement Fellowship, at jessica.deal@cnu.edu.Name(Required) First Last Email(Required) Phone(Required)Project Title(Required)Current Academic Standing(Required) Freshman Sophomore Junior Senior Other Major(Required)Are you currently enrolled in any of the following programs? Check all that apply.(Required) Service Distinction Program Bonner Service Scholars Minor in Civic Engagement & Social Justice Not Applicable Community PartnerEach applicant must identify a community partner who will offer project mentorship and guidance.Have you identified a Community Partner for your project?(Required) Yes No Identified Community Partner Contact InformationCommunity Partner Name(Required)Community Partner Email Address(Required)Community Partner Phone Number(Required)Explain how you plan to collaborate with your community partner on your proposed project.(Required)Need to Identify Community PartnerWhat steps do you plan to take to identify a Community Partner for your project?(Required)If awarded a Community Engagement Fellowship, you will be required to identify a community partner within 60 days of receiving the fellowship, or risk forfeiting the fellowship. Please acknowledge that you understand this requirement of the fellowship.(Required) I have read and understand this requirement of the Community Engagement Fellowship Faculty MentorFaculty Mentor Name(Required)Faculty Mentor Email Address(Required)Faculty Mentor Phone Number(Required)Explain how you plan to collaborate with your faculty mentor on your proposed project.(Required)Project NarrativePlease provide a description of your proposed Ferguson Fellowship project (max 500 words). Why is this project important? What issues will be addressed? Who will benefit? How will you evaluate the success of the project? How will you engage with the community where your project is situated?(Required)Project Budget and JustificationThe budget for all fellowships is $2,000 divided as follows: $1,000 student stipend; $500 community partner stipend, and $500 faculty mentor stipend. This funding is to reimburse participants for their time and energy. Fellows can request up to $500 of additional funding to cover any project-related expenses. Project-related costs may include program supplies, travel, fees, services (printing, building rental, etc.), and/or other costs pertinent to your project.Will your proposed Community Engagement Fellowship project require any additional funding to cover project-related expenses?(Required)Project-related costs may include program supplies, travel, fees, services, printing, building rental, and/or other costs pertinent to your project. Yes No Please provide a budget justification that describes any project implementation costs and why these expenses are needed to accomplish the goals of your proposed project.(Required)Results and DeliverablesWhat kind of results do you expect your project to produce? How will you measure the success of your project?(Required)What deliverables will result from your proposed project?(Required)Examples may include programming materials, presentations, publications, curriculum, creative activity, performances, etc. Final RemindersNote: If awarded a Community Engagement Fellowship, each student must create a poster presentation for the Community Engagement Fellowship Symposium, which is held at the end of the spring semester. The Symposium is a required component of the Community Engagement Fellowship that allows students to showcase their work to a broader audience. Beyond the Symposium, though, it is important for applicants to think of additional ways to disseminate and share their work. This might include sharing your project at Paideia or some other regional, state, or national conference; or even publishing your project results in The Cupola, VA Engage, or some other community engagement journal. When determining your project deliverables, consider ways you might share your project beyond the immediate campus community.
