CPS Marshall Scholar Application

Community and Public Service (CPS) Marshall Scholar Application Form

College ID #: *
Name * First Last
Class Year *
Email *
Daytime/ Cell Phone * - (###) - ### ####
Major *

If undecided, state "Undecided"
Cumulative GPA *

3.0 minimum is required. You can look up your GPA on My Diplomat.
ADVISOR INFORMATION
Academic Advisor's Name First Last
Academic Advisor's Phone - (###) - ### ####
Project Advisor's Name * First Last
Project Advisor's Phone * - (###) - ### ####
I agree to provide a letter of endorsement from my Project Advisor upon submission of this form.
NOTE: Your Advisor should email a letter of endorsement to lisa.wolfe@fandm.edu * I Agree I need to discuss this with you
The letter of endorsement must include the advisor's thoughts explaining why the project is worth doing and why you have the background to carry it out.
PROJECT INFORMATION
Title of your CPS Marshall Project *

10-word maximum.
Short description of your project. *

50-word maximum.
Project Start Date * / MM / DD YYYY
Can be approximate
Project End Date * / MM / DD YYYY
Can be approximate.
AGENCY INFORMATION
This section must contain information about the agency you plan to work with on your CPS Marshall Project
Name of Agency you will be working with on your project *
Name of your Agency Contact * First Last
Phone number of Agency Contact * - (###) - ### ####
Web Site of Agency *
NOTE:
If you want Committee members reviewing your proposal to review pertinent pages on the agency website, you will need to print and send the pages through campus mail to Lisa Wolfe at the Ware Institute. I am sending copies of web site pages to the Ware Institute
EXPLAIN YOUR CPS MARSHALL PROJECT.
Please include the following in your explanation:
1. Your goals
2. How you plan to carry out these goals
3. What prepares you personally to meet these goals
4. The benefits of the project
5. How you expect to share your results with others on or off campus
Most essays are between 500-1,000 words. *
Please Provide:
Additional information about the organization and people you will be working with on this project as well as a trip itinerary.
Please be as complete as possible and try to keep this at 500 words or less. *

250 words or less
Please Provide:
Your research component and a complete Bibliography.
You are required to identify at least three (3) sources you will read to prepare for your project. *
Include/ list any additional educational activities this project will allow you to experience.
Please keep this to 100 words or less.

100 words or less
I understand and agree that I must provide a proposal that will be submitted to the Campus Research Fair.
Please provide a working title for this presentation.
Be sure you understand what is required for a proposal that is submitted to the Campus Research Fair. *
BUDGET CONSIDERATIONS

This section asks questions about your project's budget.
PERSONAL TRAVEL EXPENSE ESTIMATES:
Closely approximate and list cost of all travel expenses related to this project.
Itemize each estimated travel expense and provide a total travel expense figure. Be sure to include train fare, airfare, automobile, etc. *
MATERIALS OR EQUIPMENT EXPENSE ESTIMATES:
Provide an itemized list of all materials and/or equipment needed for this project.
Provide an estimated itemized materials/ equipment expense and provide a total expense figure.
NOTE: Books and equipment purchased with College funds become the property of the College. You may petition to retain possession. *
LIVING EXPENSE ESTIMATES:
Closely approximate and list estimates of all lodging expenses related to your project.
Provide an estimated itemized daily lodging expense and provide a total lodging expense figure. *
MEAL EXPENSE ESTIMATES:
Closely approximate and list estimated DAILY meal costs and provide a TOTAL estimate of all meals necessary to cover your entire project.
Provide an estimated itemized daily meal expense and provide a total meal expense figure.
NOTE: Be as specific as possible. Include food expense incurred during travel time, allow for snacks and beverages. *
List all fees to any outside organization(s) that need to be paid.
If none state "No Fees" *
List any other expenses that you estimate will be incurred for your project.
This might include inoculation expense for travel, photo processing or cost of materials needed to create your research fair project.
If no expense is anticipated, state "none" *

List the TOTAL ESTIMATED EXPENSES for this project. * $ . Dollars Cents

Other funding sources * $ . Dollars Cents
Enter the total amount of any other funds you expect to provide or receive for this project. If none, enter 0.

Name the source(s) of funds you included in the above amount. *

Please list all other sources of funding you expect to receive, including personal funds.

TOTAL FUNDS you are requesting from the College. * $ . Dollars Cents
SUBTRACT the total amount of OTHER FUNDING SOURCES from the TOTAL ESTIMATED EXPENSES.

CPS Marshall Scholar Application

CPS Marshall Scholar Application

ADVISOR INFORMATION

PROJECT INFORMATION

AGENCY INFORMATIONThis section must contain information about the agency you plan to work with on your CPS Marshall Project

BUDGET CONSIDERATIONS

AGENCY INFORMATION
This section must contain information about the agency you plan to work with on your CPS Marshall Project