{"id":956,"date":"2017-11-13T20:07:49","date_gmt":"2017-11-13T20:07:49","guid":{"rendered":"https:\/\/www.macalester.edu\/160-cec\/application\/"},"modified":"2023-07-05T19:58:48","modified_gmt":"2023-07-05T19:58:48","slug":"application","status":"publish","type":"page","link":"https:\/\/www.macalester.edu\/community-engagement\/academiccivicengagement\/melloncurricularpathways\/application\/","title":{"rendered":"Mellon Civic Engagement Funds Application"},"content":{"rendered":"<form name=\"form1\" method=\"post\" action=\"https:\/\/www.macalester.edu\/cgi-bin\/macform\">\n<p align=\"left\">The specific requests can be submitted before the semester  and\/or requests can be made during the semester as  activities and projects develop. <\/p>\n<p>When you press submit, you will receive a confirmation which you will be able to print. <\/p>\n<p><a class=\"download\" href=\"\/community-engagement\/academiccivicengagement\/melloncurricularpathways\/MellongCreatingLifelongLearners-Guide.pdf\"><span class=\"download\">Download Mellon Creating Lifelong Learners Fund Guide<\/span><\/a><\/li>\n<table width=\"100%\" border=\"0\" cellpadding=\"0\">\n<tr>\n<td width=\"37%\">\n<p>Faculty Name <\/p>\n<\/td>\n<td width=\"63%\"><input name=\"FacultyName\" type=\"text\" id=\"FacultyName\" size=\"45\" \/><\/td>\n<\/tr>\n<tr>\n<td>\n<p>Email<\/p>\n<\/td>\n<td>\n                        <input name=\"email\" type=\"text\" id=\"email\" size=\"45\" \/><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\n<p>Department<\/p>\n<\/td>\n<td><input name=\"Department\" type=\"text\" id=\"Department\" size=\"45\" \/><\/td>\n<\/tr>\n<tr>\n<td>\n<p>Name of Course <\/p>\n<\/td>\n<td>\n                        <input name=\"NameofCourse\" type=\"text\" id=\"NameofCourse\" size=\"45\" \/>\n                      <\/td>\n<\/tr>\n<tr>\n<td>\n<p>Semester\/Year of Course <\/p>\n<\/td>\n<td>\n                        <select name=\"Semester\/Year of Course\" id=\"Semester\"><option value=\"Fall 2014\">Fall 2014<\/option><option value=\"Spring 2015\">Spring 2015<\/option><option value=\"Fall 2015\">Fall 2015<\/option><option value=\"Spring 2016\">Spring 2016<\/option><\/select><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td valign=\"top\">\n<p>Brief Course Description <\/p>\n<\/td>\n<td><label><br \/>\n                        <textarea name=\"textarea\" cols=\"34\" rows=\"5\"><\/textarea><br \/>\n                      <\/label><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" valign=\"bottom\">\n<p>                        This course includes the following components:<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\">\n<p>\n                        <label><br \/>\n                        <input name=\"Course Components1\" type=\"checkbox\" id=\"CourseComponents1\" value=\"Public Scholarship\" \/><\/label><br \/>\nPublic Scholarship <label><\/p>\n<p>                        <\/label><br \/>\n                        <input name=\"Course Components2\" type=\"checkbox\" id=\"CourseComponents2\" value=\"Community-Based Research\" \/><br \/>\nCommunity-Based Research                        <\/label><br \/>\n                        <br \/>\n                        <label><br \/>\n                          <input name=\"Course Components3\" type=\"checkbox\" id=\"CourseComponents3\" value=\"Community-Based Work\" \/><br \/>\n                        <\/label><br \/>\nCommunity-Based Work<br \/>\n<label><\/label><br \/>\n<\/p>\n<p>                          <input name=\"Course Components4\" type=\"checkbox\" id=\"CourseComponents4\" value=\"Policy\/Political Work\" \/><br \/>\n                        Policy\/Political work<br \/>\n                        <label><\/label><br \/>\n                        <label><br \/>\n  <br \/>\n<input name=\"Course Components5\" type=\"checkbox\" id=\"CourseComponents5\" value=\"Internship\/Practicum\" \/><\/label><br \/>\n    Internship\/Practicum integrated into class<label><br \/>\n                        <\/label><br \/>\n <br \/>\n<input name=\"Course Components6\" type=\"checkbox\" id=\"CourseComponents6\" value=\"Comment Dialogue\" \/><br \/>\n    Comment Dialogue or Event<\/label><br \/>\n                        <label><br \/>\n                          <br \/><input name=\"Course Components7\" type=\"checkbox\" id=\"CourseComponents7\" value=One-time work in the Community\" \/><\/label><br \/>\n    One-time work in the Community<\/label><br \/>\n                        <label><\/label><br \/>\n                          <\/p>\n<p>                          Other<\/label><br \/>\n                        <input name=\"Course Components Other\" type=\"text\" id=\"CourseComponentsOther\" size=\"65\" \/>\n                <\/p>\n<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" valign=\"bottom\">\n<p>                      Describe idea for civic engagement component(s): <\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" align=\"center\">\n                        <textarea name=\"Civic Engagement Component Idea\" cols=\"50\" rows=\"5\" id=\"CivicEngagementComponentIdea\"><\/textarea>\n                     <\/td>\n<\/tr>\n<td colspan=\"2\" valign=\"bottom\">\n<p>How will community stakeholders and\/or a wider public benefit from the civic engagement component(s)? <\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" align=\"center\"><textarea name=\"Benefits for Stakeholders\" rows=\"5\" cols=\"50\" id=\"BenefitsforStakeholders\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" valign=\"bottom\">\n<p>Activities that you would like funded. If you know dates, please list them: <\/p>\n<\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\" align=\"center\"><textarea name=\"Activities that you would like funded. If you know dates, please list them=\"5\" cols=\"50\" id=\"Activities that you would like funded. If you know dates, please list them\"><\/textarea><\/td>\n<\/tr>\n<tr>\n<td>&nbsp;<\/td>\n<td>&nbsp;<\/td>\n<\/tr>\n<\/table>\n<p>                    <input\n value=\"Clear Form\" name=\"reset\" type=\"reset\" \/><br \/>\n                    <input name=\"recipient\" value=\"schadewald@macalester.edu\" type=\"hidden\" \/><br \/>\n                    <input name=\"subject\" value=\"Mellon Lifelong Learners\" type=\"hidden\" \/><br \/>\n                    <input name=\"required\" type=\"hidden\" id=\"required\" value=\"email\" \/><br \/>\n <input value=\"Submit\" name=\"submit\" type=\"submit\" \/><\/p>\n<\/p><\/form>\n<p>\u200b<\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"parent":954,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-956","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/pages\/956","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/comments?post=956"}],"version-history":[{"count":2,"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/pages\/956\/revisions"}],"predecessor-version":[{"id":5749,"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/pages\/956\/revisions\/5749"}],"up":[{"embeddable":true,"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/pages\/954"}],"wp:attachment":[{"href":"https:\/\/www.macalester.edu\/community-engagement\/wp-json\/wp\/v2\/media?parent=956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}