University of Louisville

COMMISSION ON DIVERSITY & RACIAL EQUALITY (CODRE)

DIVERSITY PROGRAMMATIC INITIATIVES

APPLICATION FOR FUNDS ^(rev.2008)

All members of the university community are eligible to apply for funds. Application for funds should be received no later than 60 days prior to the event for which funding is sought. No funding requests will be approved after March 30^th of said academic year. Intra-university transmittals must be requested within 15 calendars days of the notice of funding approval from the Office of the Commissions.

Indicate the purpose of the request.  Place an “X” beside all that apply.

Preference will be given to those requests that clearly enhance the understanding and appreciation of diversity within the  university community.

                                                                                                                        Amount Requested: ___________

APPLICANT

Name      _________________________________________________________________

(Print)

                                                                                                                                Organization

Organization   ________________________________           Position  _______________________

Unit     _____________________________________  Campus _____________________

Student _______       Staff _______           Faculty _______                     Other ____________________

                                                                                                                                                                                                           (Specify)

Telephone __________________  Cell phone_____________          E-mail address _______________

---------------------------------------------------------------PROGRAM---------------------------------------------------------

Program                                                                        Program

Name ______________________________         Date _________________________

Program Location________________    Annual Program ________YES ___________NO

Is there a CHARGE for Program ________YES ______NO       If YES, How much_________ 

UNIT SPEED TYPE*_______________        RSO FEDERAL ID NUMBER_*______________

Have you received funding from CODRE/Diversity Programming Committee in the past?   ___ YES ___NO

If YES, ________Date of Funding    ________Amount of Funding      ___________Co-sponsors

Program Funded____________________________________________________________

      BUDGET

                                REQUIRED attachments

1.  Itemized Budget Statement *

Attach a line-item budget that shows summary categories of expenditures for the event, i.e., publicity, food,

facility rental, security, supplies, speaker fees, etc.; and indicate how the requested funds will be expended.

2.  Program Description (Only 1 page please.)*

Provide a complete description of the planned programmatic initiative to include, but not limited to, the following:

§  Goals of program

§  Expected outcomes and measurements

§  Use of outcomes

§  Description of participants/targeted audience

§  The impact on the university community and/or campus climate

§  Presentation/written summary for conference funding participants to the University (where it applies)

3.  PUBLICITY*

The Diversity Programming committee of CODRE does require its name, Commission on Race and

Equality (CODRE) to be listed as a co-sponsor of this program on all publicity.  Attach examples of

publicity materials (e.g. flyer, poster, invitations, announcement etc.).

4. ENHANCEMENT/ADDED VALUE*

Provide a description (3-4 paragraphs) on how this programmatic endeavor will enhance/add value to the  UofL

 campus climate and what steps that will be taken to accomplish this endeavor, including examples of how your

programmatic endeavor will be evaluated (program assessment instrument) to indicate the value added aspects

of the programmatic endeavor for the University community.