Mwalimu Grant Program Application

Mwalimu Grant Program Application
This application is the first step in the Mwalimu Grant Program. It is designed to give us as clear an idea as possible about your proposed course, and why you're uniquely qualified to teach it. The idea is to keep this as concise and to the point as possible (so it's not unnecessarily long and drawn-out), but please feel free to include as much information as you think necessary for us to fully understand what you bring to the table!
Your Name*

First NameLast Name
Name of Employer*
Job Title/Position*
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Proposed Course Overview

Answer the questions in the boxes below, or upload your answers in a Word document or PDF below if you prefer.
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Proposed Course Title*
Course Name
Proposed Course Description or Overview
Course Description
Proposed Course Themes
Major and Minor Course Themes
Course Outcomes and Goals for students
Student Outcomes
Course Outcomes and Goals for host and local community
Community Outcomes
Professional and Personal Development Goals and Outcomes
Personal and Professional Development Goals
Course Duration:*

~7 Days (1 week)~10 Days~14 Days (2 weeks)~21 Days (3 weeks)~28 Days (4 weeks)Other
Expected Number of Participants:*

4-67-910-1213 or moreDon't KnowOther
Time of Year*

Fall SemesterJanuary TermWinter BreakSpring BreakSpring SemesterMay/Early SummerMid-SummerLate SummerNot sure yetOther
Do You Have a Trip Budget in Mind?*

No budget in mindUp to $2000$2001-$2500$2501-$3000$3001-$3500$3501-$4000$4001-$5000More than $5000
Where do you want the course to be held?

Please check/list any locations of interest, if applicable.
Check as many as apply

S. AfricaSpainPortugalCubaEcuadorZanzibarMoroccoBrazilTaiwanJapanGreeceRussiaTurkeyGalapagos IslandsLebanonIndonesiaNepalDominican RepublicHaitiPuerto RicoColombiaArgentinaChilePeruMexicoCosta RicaUruguayIsrael/PalestineAustraliaNew ZealandVietnamGhanaOther
More Proposal Details
Has this program been approved by your institution? (if applicable)

YesNoNot applicable
Will this be an annually recurring program?

YesNoUnsure
If so, what are your plans and goals for the future of this course, and how do you hope to achieve those goals?
Do you have any specific activities or excursions you would like incorporated into this program?

YesNo
If so, what are those activities or excursions?
Will students need to receive academic credit for this program?

YesNo
If so, how many credits?
Who is your target audience for recruitment?
How do you plan on successfully reaching out to that audience?
Are there any other notable characteristics of your target audience (ideal price point, notable demographic elements, etc.)
Qualifications & Background Information

Why are you uniquely qualified?
Describe any international experience you have.
If applicable, how and why does this experience help prepare or qualify you to successfully complete this grant program?
What uniquely qualifies you to lead this course?
How do you plan to leverage this opportunity in the future?
Do you (or your prospective students) have access to any additional funding sources? If so, please describe them.
Please upload your CV here.*

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Please upload any additional supporting or helpful documents here.

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Anything else we should know?
Anything else?
Should be Empty:

Mwalimu Grant Program Application

Proposed Course Overview

Where do you want the course to be held?

More Proposal Details

Qualifications & Background Information

Anything else we should know?