PSYDOC DJI Grant Application

DJI Grant Application

PSYD DIVERSITY & JUSTICE MINI-GRANT APPLICATION
Date*

MonthDayYear
Date
Name*

First NameLast Name
Wheaton Student/Faculty ID Number*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*

Area CodePhone Number
Faculty or Student?*
Your Email*
example@example.com
Faculty Research Advisor*
Faculty Email*
example@example.com
PsyD Advisee Name(1) [relevant to this project]*
PsyD Advisee Name(2) [relevant to this project]
PsyD Advisee Name(3) [relevant to this project]
Year in Program*
Project's Title:*
Estimated Project Start Date Relevant to Requested Funds (Not Entire Project)*

MonthDayYear
Date
Estimated Project End Date Relevant to Requested Funds (Not Entire Project)*

MonthDayYear
Date
Have you received a DJI mini-grant in the past?*

YesNo
Have you received a DJI mini-grant in the past for the specific project you are now proposing?*

YesNo
What was the title(s) of your previous DJI mini-grant?*
What was the year(s) of your previous DJI mini-grant?*
Have you received, or are you applying for, other funding (e.g., dissertation grant) for this specific project you are proposing?*

YesNo
I understand that I need to provide the DJI committee a breakdown of my total budget and total expenditures for both the DJI mini-grant portion as well as all other grant funding sources. In other words, I will provide a comprehensive breakdown of my budget, including all obtained or potential sources of funding and all expected expenditures*

YesNo
Does your proposed project have IRB approval?*

YesNo
When did you receive IRB approval?*
When do you plan to submit an IRB proposal?*
Please attach a two- or three-page description of your proposed project. Please include the following five elements:

1. A brief description of the project, including the following two elements:
- brief background on the topic, including conceptual background, theory, research rationale, research questions, and hypotheses—as applicable to the project's approach.
- brief overview of the research methodology (design, measurements, and analyses). Note: Do a brief APA methods summary (A significant amount of detail (e.g., alpha levels) is not needed, please! Just enough to be able to understand the study).
2. Provide a rationale for time sensitivity. Why does your study need some money in the near future? (e.g., no other grants are available in the needed timeline).

3. A description of how the project addresses issues relevant to The Diversity and Justice Initiative's goals? (e.g., understanding or improving diversity, multiculturalism, interculturalism, biblical/social justice, inclusion)?

4. A description of how the project will provide a meaningful impact for a community during and/or after project completion. How is your study going to practically impact the lives of people?

5. A statement of projected expenses (include detailed and specific expense categories and total requested amount up to $1,000). Typically, we encourage people to submit grants with a full $1000 requested. Please also include a breakdown of any other funds requested so we can see your total budget and total expenditures (e.g., funds from a dissertation grant, funds from other college sources).
Upload your document here:*

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Your application will be reviewed and evaluated by a designated committee member based on the following criteria:

1. Aligns with the commitment of the PsyD program to pursue excellence in scholarship and clinical services –particularly to communities and persons who have been traditionally marginalized and unjustly treated in our global society.(see < https://www.wheaton.edu/graduate-school/degrees/psyd-in-clinical-psychology/diversity-and-justice/ >)

2. Has potential for successful implementation and meaningful impact on a specific group.
This mini-grant is issued with the understanding that you will submit a report of your work to the Diversity and Justice Committee Director once the funds have been expended within a 1-year grant period.You may also be invited to present your funded project at a Diversity and Justice roundtable forum.
Initial here if you agree to submit a final report to the DJI Committee Director once funds have been expended and submitted to accounting*
Initials

I am:
Unless you are faculty reviewing this proposal for approval, please ensure this selection is congruent with your selection on the previous page. For example, if you selected student on the last page, please select student here as well.

Student signature:

Clear

Faculty signature:

Clear

Amount awarded:
Insert Year of the June 1st deadline
Comment 1
Comment 2
Comment 3
Dr. Hervey Final Approval:

Clear

Should be Empty: