CON Summer Salary Award Application version January 2008

From University of Nebraska Medical Center
Revision as of 08:02, June 3, 2015 by Jbarrier (Talk | contribs) (Created page with "<table style="max-width:70em !important; background:#F8FCFF; text-align:center" width="100%" cellspacing="0" cellpadding="0" border="0"> <tr> <td style="padding:0.5em; backgro...")

(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to: navigation, search
Home   Appendices                    


UNIVERSITY OF NEBRASKA MEDICAL CENTER
COLLEGE OF NURSING
Summer Salary Award Application Subsection: Appendix F1
Section - Information Originating Date: December, 2007
Responsible Reviewing Agency:
Executive Council
Revised: January, 2008
J:/RESOURCE MANUAL/Table of Contents College of Nursing Resource Manual


Form

2008
Due 5 p.m. – Monday, February 25, 2008
to Department Chair/Assistant Dean for Approval
Due Monday, 5 p.m. March 3 to Co-Chair of Summer Salary Award Committee
(M.J. Stanley, M.S.N.) mjstanle@unmc.edu

Applicant Name: Campus and Dept:

(One application per faculty member is necessary,
even if on same Project)

Number of weeks_____ or days_____ being requested. Total weeks for one or more Projects must not exceed 6 weeks. Your application may be approved but recommended for fewer days. Please complete a separate application for each unrelated Project and prioritize them. The Project(s) must be developed by Friday August 8, 2008.

Title of Project (with priority number if applying for more than one Project):

Description of the Project:

Proposed Outcome(s)/Product (Be very specific)

Coordination
For faculty working together (either cross campus or on same campus) on the same summer salary Project, include here assignment of essential tasks to each member

Cross Campus: Please indicate whether coordination with cross campus faculty is already arranged (preferred) or plans for doing so - if applicable:

Needed support (technical, additional equipment, etc). Please attach a copy of Technology Services Request work order (or related email) with your request and indicate if you have had a verbal conversation with any of the ITS staff regarding feasibility of completing.

Names of other individuals who are requesting time on this Project and amount of days _______ or weeks _______requested per individual:

List any current or proposed funding associated with the Project:

Rationale for Project
Provide a statement of the need for this Project. Briefly describe in your own words: a) how this Project ties into the summer salary award priorities; and b) how Project fits into the Strategic Plan 2007-2008.

Plans for Demonstration and/or Implementation on Own Campus:

Plans for Demonstration and/or Implementation on Other Campuses:

How the Success or Effectiveness of Project Will Be Evaluated:

Time Line for:

  1. Developing each component of the Project (for each member if working together)
  2. Implementing on own campus
  3. Implementing on other campuses
  4. Evaluating the success or effectiveness

Attach Completed Check List for Application Process

Written Report of Completion
If I am awarded a Summer Salary Award, I understand that a written report (using the Summer Salary Award Report Form) describing the Project, the outcomes/product, plans for implementation, and for evaluation will be due Friday September 5, 2008 at 5 p.m. to my Department Chairperson/Division Assistant Dean for her/his approval and then due Friday September 12 by 5 p.m. to the co-chair of the Summer Salary Award Committee ( M.J. Stanley mjstanle@unmc,edu) to be shared with the Summer Salary Award Committee. I agree to share completed products with other campuses and demonstrate them as applicable.

 

____________________________________________
Signature of Faculty Member Applying
Or email from faculty member
  _________________
Date
 
Department Chairperson/Division Assistant Dean Approval of this Project
 
__________________________________________
Signature of Chairperson/Division Assistant Dean
Or notification of approval by forwarding on email by 3/3/08
  _________________________
Date