Brock Experiences for Transformational Learning

Application to Offer a Mature Brock Course

Applicants interested in offering an already developed Brock Experience must prepare a proposal according to the following guidelines and complete the signature page. Please know that completing the application document does not guarantee that the course will be approved for inclusion in the slate of offered programs. The Brock Advisory Board will review all applications and submit recommendations to the Provost who will – in consultation with the Director and the Brock Implementation Team – make the final decision on courses to be offered. Agreeing to offer a developed course does not obligate the University to offer the course again in the future nor does it obligate the faculty member to teach the course beyond the scope of this application. Completed applications for offering an already developed course must be received by the Office of Brock Experiences for Transformational Learning according to the following timeline:

Summer/Fall courses – October 1 of the academic year prior

Spring courses – March 1 of the academic year prior

Basic Information

Name of Faculty Lead:
Name of Brock Course:
Contact Information (email and phone):

Names and disciplines/areas of proposed team members:

Checklist of required items:

Explanation of changes from previous offerings (See form on page 2)

Proposed budget (See form beginning on page 3)

Course syllabus

Faculty lead signature sheet

Team member signature sheet (one per team member)

Brock Experiences for Transformational Learning

Explanation of Changes

Brock Experiences are intended to be innovative courses that continually reflect the changing dynamics of civic issues as they present in the world. As such, it is expected that Brock Experience courses will continue to develop and evolve as new avenues of inquiry arise or field partnerships become available. This form provides a centralized place to gather relevant information about the updates and adjustments to a mature Brock Experience for review by the Brock Advisory Board.

NOTE: This form does not replace any of the curriculum review and update processes that may be required by the University. Refer to the Curriculum Handbook found here for appropriate steps in putting forward a significant change in the curriculum: https://blogs.longwood.edu/curriculum/resources/.

New or developing areas within the Brock Experience and how you plan to incorporate these new areas into the course:

Items you plan to remove or de-emphasize to make space for the new or developing areas noted above:

Brock Experiences for Transformational Learning

Proposed Budget

Use the worksheet below to submit an estimated budget for the proposed mature Brock Experience. It is important to remember that these numbers will be estimates and are not considered final. They should, however, be well-researched and informed rather than speculative. When possible, numbers should be rounded up to the nearest whole number.

Number of Team Members
Number of Students
The first section of this budget form will help calculate the total cost of the program, regardless of funding sources. If information does not align with the provided categories, include it in the miscellaneous section for consideration.
Travel to/from Location
Faculty/Staff airfare	Per person	*	Team members	=	Total
$	$
Mileage to/from airport ($.50/mile)	Miles	*	Rate	*	Team members	=	Total
$.50	$
Baggage fees	Per person	*	Team members	=	Total
$	$
Airport parking	Per person	*	Team members	=	Total
$	$
Travel in Location
Rental cars (assumes 8 to a car)	Per car	*	# of Cars	=	Total
$	$
Public transportation	Per person	*	People	=	Total
$	$
Total from travel
$
Lodging
Faculty/Staff (assuming sharing)	Per room	*	Nights	*	Team members/2	=	Total
$	$
Students (assuming quads)	Per room	*	Nights	*	Students/4	=	Total
$	$
Total from lodging
$
Meals
Team Meals	$
Groceries	$
Total from meals
$
Activities and Miscellaneous
Student scholarship support	# of students/2	*	Avg. schol. amount	=	Total
(assumes half apply)	$1,000.00	$
Activities, entrance fees, etc.	Total
$
$
$
$
$
$
$
$
$
$
Total from activities and misc.
$
Compensation
Faculty lead	$
Team members	Instructional faculty	*	Summer pay	=	Total
$	$
Misc. honoraria	$
Total from compensation
$
Total from travel	+	Total from lodging	+	Total from meals	+	Total from activities	+	Total from compensation	=	Total cost of program
$	$	$	$	$	$

Student Costs
This section will help calculate the approximate total cost for the student before any scholarship support. This will help keep the total cost of the Brock Experience in mind for planning purposes.
Tuition	Per credit hour (summer)	*	Course credits	=	Total
$	$
Airfare/Transportation	$
Program Fee	Total cost of program	/	Students	=	Program fee
$	$
Funding Sources
This section will help determine how much budget support is needed from the University. These funds may be secured from the Brock Endowment, Academic Affairs, or other sources. If the course is approved for delivery, funds will be allocated from appropriate sources.
Students	*	Program fee	=	Total
Program fee revenue	$
NOTE: The formula used here would represent the students program fee supporting 100% of the costs of the course. Best practice is to keep program fees under $900. If the program fee calculated to the right exceeds this amount, the maximum of $900 will be shown.
Course specific funds (i.e. Foundation accounts or fundraising)	$
Explain nature of funds:
Balance needed	Total cost of program	-	Program fee revenue	-	Course funds	=	Total
$	$	$	$

Brock Experiences for Transformational Learning

Mature Program Signature Page – Faculty Lead

Commitment – Brock Faculty Leads will be expected to offer their course according to the timeline and in the timeframe agreed upon by the lead, the Office of Brock Experiences for Transformational Learning, and Academic Affairs. If the course is offered in a summer format, the faculty lead will receive a teaching stipend equivalent to three credits of summer teaching. If the course is offered in a Fall/Spring semester format, every effort will be made to incorporate the teaching into the faculty member’s standard teaching load. If that is not possible, the faculty lead will be paid overload compensation.

I signify that I understand the commitment necessary to offer a Brock Experience and that I pledge to uphold the expectations of the program.

Signature (Applicant): ______________________________	Date: __________

Department Chair and Dean Support – Since offering a Brock Experience may impact the Fellow’s home department, each applicant must obtain the support of his/her Department Chair and Dean. If the course is offered in a summer format, the faculty member will be expected to work on the course during the normal, academic year. If the course is offered in a Fall/Spring semester format, the Department Chair will attempt to incorporate the teaching into the faculty member’s standard teaching load. Where that is not possible, the faculty member will receive overload compensation which will not come from the department’s budget.

I signify that I have reviewed the application for offering this Brock Experience and feel that, to the best of my knowledge, it is accurate, complete, and reasonable. Further, I feel confident in the leadership of this course.

Signature (Chair): _________________________	Date: __________	Comments:
Signature (Dean): _________________________	Date: __________	Comments:

Brock Experiences for Transformational Learning

Mature Program Signature Page – Team Member

Commitment – Members of Brock Experience teams will be expected to participate in all aspects of the Brock Experience as determined by the educational needs, the team’s decision-making, and the University’s priorities. Team members may be expected to travel with the Brock Experience for an extended period of time and must be willing to enforce University policy, assist in the transportation of students, deliver course content, evaluate/grade student work (where appropriate), and perform other duties necessary to the course. Team members may be asked to participate in planning meetings throughout the year for which there will be no additional compensation. Team members who are on 12-month contracts will not receive a stipend for their participation in the course but will not need to log leave time for their time away from the office. Team members who are off contract during the course or who are acting in the capacity of a faculty member will receive a teaching stipend equivalent to three credits of summer teaching.

I signify that I understand the commitment necessary to offer a Brock Experience and that I pledge to uphold the expectations of the program.

Signature (Applicant): ______________________________	Date: __________

Department Chair or Supervisor – Since participating in a Brock Experience team may impact the employee’s home unit, each team member must obtain the support of his/her Department Chair or Supervisor. If the course is offered in a summer format, the team member will be expected to work on the course during the normal, academic year. While participating in the Brock Experience, the team member will not be expected to log leave time. If a stipend is warranted (see above), that compensation will not come from the department’s budget.

I signify that I have reviewed the proposed plan for departmental support for this Brock Fellow and feel that, to the best of my knowledge, it is accurate, complete, and reasonable to fulfill the responsibilities of this Fellow in his/her reassignment. Further, I feel confident in the Team Member’s contribution to this course.

Signature (Chair): _________________________	Date: __________	Comments: