ACEDHH – Crossing the Realities Divide Catalyst Grant

Choice Proposal

Instructor’s Name _____________________________________________________

University/College ____________________________________________________

Date of Submission _________________ CHOICE #_______________________

Projected Start Date Projected Completion Date

Course Title ________________________________ Number of Students____________

PRE-DATA information:

(Refer to Choices Menu and list the required pre-data for your choice.)

Objectives:

Procedures: (how will the students learn this information?)

Technology to be Used:

How do you plan to evaluate your project?

(be sure to check the post-data requirements on the Choices Menu)

Will the students develop any technology skills as a result of this course? ___Yes ___No

If yes, how?

How did YOU learn this technology skill?

PLEASE complete a form for EACH CHOICE selected and SUBMIT FORM AND REQUIRED PRE-DATA DOCUMENTS VIA E-MAIL TO YOUR REGIONAL DIRECTOR.

You will receive ½ of your honorarium upon submission and approval of this form; the second ½ will be paid upon completion and submission of the Post-Data form and products.