4. Community-Based Research 2008 Civic Engagement Award application/nomination

Please use this electronic format to submit your application or nomination for a 2008 Civic Engagement Award

You have selected category IV:

Excellence in Community-Based Research

This $300 award will be given to faculty/community teams that provide pertinent data and responses to community needs with a focus on research.

Award will be given to faculty/community partner teams that contribute to community-based research.

Review criteria:

• New or innovative approaches to “defining, discovering, and disseminating knowledge” and/or a “commitment to social action for social change” via community-based research activities
• Collaboration with community entities, democratization of knowledge, and/or social change/justice implemented via research activities
• Any community-based research in social action and/or social change that attempts to promote social justice

Applicant/nominee name (first and last):

Organization/Department:

Mailing address:

City/State:

Zip code:

Telephone number:

Format: (999) 999-9999

E-mail address:

Please provide a short essay (not to exceed 500 words) addressing the award criteria of Excellence in Community-Based Research

Review criteria:

• New or innovative approaches to “defining, discovering, and disseminating knowledge” and/or a “commitment to social action for social change” via community-based research activities
• Collaboration with community entities, democratization of knowledge, and/or social change/justice implemented via research activities
• Any community-based research in social action and/or social change that attempts to promote social justice

Please paste your essay (500 words maximum) here:

Please paste a 75-word abstract of your essay below. This will be included in the printed program:

Award applicants/nominees must indicate agreement to the following by clicking on each item:

If selected as an award recipient, applicant/nominee agrees to attend the Civic Engagement Awards Celebration on Thursday, May 29, 2008 from 3:00-5:00 pm at PSU   If selected as an award recipient, applicant/nominee agrees to showcase their work with a poster presentation displayed at the May 29 event   If selected as an award recipient, applicant/nominee agrees to provide a 3-minute presentation at the May 29 event

Nomination/application submitted by:

E-mail address:

Telephone number:

Format: (999) 999-9999