Application

Fellow Information:

Mentor Information:

Professional Affiliation:

Cut and Paste the Following Documents:

• 1,000-word limit, 12-point font
• The proposal must include:
  1. A brief description of your proposed project:
     • Type of institution in which you intend to teach the material you develop
     • Characteristics of the course (size) and its students
     • Topic or theme within the course you plan to address
     • Instructional strategies you would like to explore, if known, etc.
  2. A plan for implementation of the proposed project
     • Explain the flow from background reading or other preparation, to devising new active learning material, to using it with students, and identify where these steps take place (i.e., at your mentor’s institution or yours)

• Possible plans for formative and summative classroom assessments

1. Your interest in being mentored in active learning
2. Your teaching experience
3. An outline of the specific time frame for your visit to your mentor and the development of the active learning materials
   • Exact dates are not necessary on the application, but you need an idea of the month and duration of the visit(s)
   • Ideally, supply a schedule of proposed meeting times (electronically or in person) with your mentor

• Proposed budget: logistical details including dates, location, and anticipated costs
• How you plan to disseminate your work relating to the mentorship, for example:
  • Peer-reviewed publications (CBE--Life Sciences Education, Journal of College Science Teaching, CourseSource)
  • Seminar at your own or your mentor’s institution
  • Oral presentation or poster at a scientific or teaching and learning meeting (besides the one for which PALM funds your travel)

• Two-page limit
• Covers two parts:
  1. Promise to mentor the fellow throughout the duration of the proposed activities
  2. Mentor’s experience actively implementing Vision and Change principles in classrooms, especially pertaining to the specific approaches the fellow wants to pursue

• Emphasizes:
  1. A few paragraphs on teaching philosophy
  2. Courses taught

• Experience with evidence-based teaching

1. Educational innovations employed
2. Topic of any discipline-based education research