Application for Modification of Fellowship

Directions

This form is the application to modify an existing fellowship to occur in Summer of 2019, Fall of 2019, Spring of 2020, or any combination of those semesters. The deadline for applications is February 15, 2019.

This form is intended to be completed by a faculty advisor. Any student filling out the form must have the explicit support of a faculty advisor.

If you encounter any problems with your application, contact fellowships@rhodes.edu.

Fellowship Title

Fellowship Advisor (Rhodes Faculty/Staff)

Beginning Date of Fellowship

Ending Date of Fellowship

Semester(s) in which the Fellowship will take place:

Number of students who will participate in the Fellowship

Is this activity currently approved for academic credit?

Note: Students cannot be paid for activities in which they are receiving academic credit

Are you requesting funding?

Is international travel involved for this fellowship?

Note: any fellowship involving international travel must be pre-approved by the Buckman Center.

Modification of Fellowship

An application for renewal must reference previous iteration of the Fellowship. If you do not have the original application and/or the feedback for your fellowship, or would like to review it for modification purposes, please contact director Mauricio Cafiero (cafierom@rhodes.edu).

Which of the following would you like to modify?

Check all that apply.

Budget Information

Do you have other sources of funding?

Will students be compensated during this activity?

Is this activity taking place during the summer?

If so, are you requesting summer housing?

Are you requesting funding for other expenses?

International Travel Information

Travel arrangements and issues of liability for international travel must be discussed with the Study Abroad Department (the Buckman Center) prior to submitting your application. All international travel is subject to the requirements and policies maintained by the Buckman Center for International Programs and must be approved at least six months in advance of the departure date. The Fellowship Committee will consult the head of the Study Abroad Department to verify that the creator of the fellowship has, to the best of his or her ability, prepared adequately for international travel.

Have you consulted the Study Abroad Department in preparation for your Fellowship Activity?

Explain where the student will be staying during the international portion of the Fellowship.

Your application will not be approved if the Buckman Center for International Programs feels that you have not adequately prepared for the international portion of your fellowship.

Renewal Reflection

Please briefly describe the last iteration(s) of your fellowship, the outcomes, and what you have learned that you may change. This can be with regard to training, execution, or the student learning outcomes. If you do not have the original application and/or the feedback for your fellowship, or would like to review it for reflection purposes, please contact director Mauricio Cafiero (cafierom@rhodes.edu).

Submission Information and Agreement

As a fellowship advisor, I understand my role as a mentor to the students who participate in this fellowship. I will work to help the students reach the Student Learning Outcomes, especially through reflection. I will update the Fellowships Department (fellowships@rhodes.edu) about changes in the participants, and at the end of the fellowship, when given the link by the Fellowships Department, I will complete the scorecard and rubric(s) pertaining to the fellowship activity and its participants.

Typing your name below constitutes your digital signature

Email Address

Fellowship Category

Requirements for Applicants

Minimum GPA

Major or Minor

Class year

Other Prerequisites

Please describe the fellowship activity in about 150-200 words. This should be a description of the work for a general audience and should not be a technical description. Emphasis should be on the benefit to the student(s) involved in the Fellowship. This description will be made public.

1. Integration of factual knowledge, fundamental principles, and/or specific skills learned in the classroom with the fellowship activity.

2. Strengthening analytical (or, in the arts, also creative) ability toward establishment of a professional identity.

3. Evidence of participatory, collaborative, and/or team-oriented learning.

5. Development of critical reflection skills

Examples of critical reflection include: journal, blog, reflective essay(s), regular meetings with advisor, regular group meetings with other participants, and conference presentations. An URCAS presentation is highly recommended to be one portion of the reflection process.

Budget Information

Please describe current funding sources, amounts, and other relevant information.

If not, have you applied for other sources of funding?

Please describe your attempts thus far to receive other funding.

Is there a reason you have not applied for other sources of funding? Explain.

Calculation of cost

Number of Students

Number of Weeks

Hours per Week

***Multiply the three numbers above times $9.70 per hour to calculate amount requested for a stipend:

If this activity is taking place during the summer, then multiply the three numbers above times $9.70 per hour times 1.0765 to include FICA to calculate the amount requested for a stipend (FICA is only added for Summer Fellowships)

Number of students who (might) house on campus

Number of months for housing

***Multiply the two numbers above times $300 to calculate amount requested for housing.

Please itemize and describe the expenses for which you are requesting funding (excluding stipend and housing expenses).

We will not fund travel to conferences, off-campus housing, or living expenses. We offer student compensation in order to assist with these costs.

Add fields above that begin with *** above to calculate total funding requested:

***Add all itemized expenses for non-stipend/non-housing amount requested: