Format of Application Form

UPLB ILC Interactive Multimedia Instructional Material Development Grant

Please follow this format and supply all required information. Submit complete application form to the Office of the Director, UPLB Interactive Learning Center. The UPLB ILC Advisory Committee will process only applications endorsed by the Department Chairs or Institute Directors and received by the UPLB ILC on or before the designated deadlines.

The PDF version of the application form is available for download.

  1. Name (list all authors if applying as a group)
  2. Position and rank
  3. Employment status (permanent or temporary) and years in UP service
  4. Department/Institute, College
  5. Mailing, e-mail address and telephone number
  6. Date of birth
  7. Education (degree completed/school/date graduated; include current graduate program enrolled in, if any, and number of units completed)
  8. Previous academic positions and or relevant experience
  9. List of relevant creative work in the last three years, if any. Supply full bibliographic information (or equivalent information for creative work).
  10. Other relevant and completed research, creative and scholarly work

Details of Proposed Learning Object:

  1. Description and significance of concept, process, rule of formula. Indicate why the proposed learning object should be supported; why it differs significantly from those already in use or available in market. Highlight distinguishing features.
  2. Course where proposed learning object will be used.
  3. Number of years that proponent has taught course.
  4. Average number of students and sections of the course (give most recent figures).
  5. Other courses which could use the learning object (if any)
  6. Attach the following:
    1. Official course description and syllabus of the course for which the learning object is being proposed.
    2. Sample instructional material developed, if any
    3. Letter of Endorsement of Unit’s Department Chair or Institute Director and
    4. Certification that the project is doable within the requested time.

I attest to the correctness of the information presented above.

Applicant’s signature and date