Power of Experience Grant Application

Power of Experience Grant Application
Experience Type (select the one that best describes what you plan to do):*

Community Service or Community EngagementInternshipOff-Campus Study/Study AbroadResearchCreative WorkOther Experiential Learning ActivityStudent Teaching
The Kleine Center for Community Service is a wonderful resource for students interested in pursuing a community service or community engagement experience. You are highly encouraged to consult with the Kleine Center for Community Service prior to filling out this application. The Kleine Center for Community Service is located in Alumni Hall 201.
The Bastian Family Career Center is a wonderful resource for students interested in pursuing an internship. You are highly encouraged to consult with the Bastian Family Career Center prior to filling out this application. The Bastian Family Career Center is located in Alumni Hall 222.
The Stellyes Center for Global Studies is a wonderful resource for students interested in pursuing an off-campus study/study abroad experience. You are highly encouraged to consult with the Stellyes Center for Global Studies prior to filling out this application. The Stellyes Center for Global Studies is located in Alumni Hall 226.
The Vovis Center for Research and Advanced Study is a wonderful resource for students interested in pursuing a research, scholarship, or creative work experience. You are highly encouraged to consult with the Vovis Center for Research and Advanced Study prior to filling out this application. The Vovis Center for Research and Advanced Study is located in Alumni Hall 231.
The four Centers in Alumni Hall offer a wide variety of resources to assist you with your experience. You are highly encouraged to consult with the one that is most closely aligned with your proposal. The Centers include the Kleine Center for Community Service (AH 201), the Bastian Family Career Center (AH 222), the Stellyes Center for Global Studies (AH 226), and the Vovis Center for Research and Advanced Study (AH 231). Alternatively, please feel free to contact PowerofExperience@knox.edu for guidance in developing your proposal.
Name:*

First NameLast Name
Knox Student ID:*
Knox K-Box:*
Phone Number:*

Area CodePhone Number
Knox Email Address:*
example@knox.edu
Home Address*
Declared/Intended Majors:*
Declared/Intended Minors:
Intended term and year of graduation:*
Term of intended graduation
Year of intended graduation (YYYY format)
One sentence summary of your proposed experience:*
Location of your experience:*
Name of organization sponsoring your experience, if applicable:
Name and title of person overseeing/supervising your experience, if applicable:
Start Date:*
Start Date (MM/DD/YYYY format)
End Date:*
End Date (MM/DD/YYYY format)
Number of hours per week you will engage in this experience:*
Do you plan to collaborate with another student on this experience?*

YesNo
If so, who (please list first and last name)?
First and Last Names
Have you previously utilized part of your Power of Experience grant?*

YesNo
Have you received or will you be applying for other funding? If so, please list from whom and how much. *
For example, $500 from Richter funding.
To Complete Your Application:

Please use the following templates found here to submit your Proposal Essay and Budget Worksheet. Please download the budget worksheet and complete it as a fillable PDF.
Please upload your Proposal Essay (required)

Browse Files

Cancelof
Please upload your Budget Worksheet (required)

Browse Files

Cancelof
Please provide the name and email address of the Knox Faculty or Staff member who has endorsed this experience. Ideally this would be your academic advisor:*
First Name
*
Last Name
example@example.com
Student Affirmation:*

By checking this box, I affirm that I have completed this application truthfully and to the best of my ability. I understand that if I do not participate in this experience, or if the funds I receive exceed the amount necessary to complete the experience, I am obligated to return the unused funds.
Today's Date:*

MonthDayYear
Date
Questions regarding your application may be emailed to PowerofExperience@knox.edu.

Please click on the preview answers button to view a preview of your application before your final submission. A copy of your application will be sent automatically to the faculty or staff member who has endorsed your application for their review and confirmation of endorsement.

Ready to submit? First, please make sure you have attached the required files, and then scroll down to the end of this page and click the Submit button.
This section for Faculty / Staff Use Only
Power of Experience Grant Endorsement
Enter password to continue to endorsement form:

Faculty/Staff Endorsement for Power of Experience Application
Your Name:*

First NameLast Name
Your Email:*
example@example.com
Your Department or Program:*
Name of the Student requesting the grant:

First NameLast Name
I support this request for a Power of Experience grant.*

YesNo
Should be Empty:

Power of Experience Grant Application

This section for Faculty / Staff Use Only

Power of Experience Grant Endorsement