1 I. COVER SHEET
Project
Title: (Choose succinct a title that accurately describes and identifies your project)
Geographic Location: ¨ Local
¨ National
¨ International
Has this project been funded previously? ¨ Yes ¨ No
Find faculty members through
classes and other faculty advisors.
Faculty Advisor
Choose the geographic
location of your project
If this is the continuation of a previous
project, then choose "yes"
Name:
Department:
UVa E-mail Address:
Community Partner
Organization:
Contact Person: The person at the organization with whom you will work most closely.
E-mail Address: If your community partner does not have e-mail, please provide a mailing address and phone #
Has your group been invited into the community to conduct your project? ¨ Yes ¨ No
Graduate Mentor
This is a pause point.
(Graduate Mentors complete a separate application, but please complete the below if this project includes the
participation of a graduate mentor.)
Name: Talk to your faculty advisor about identifying a graduate mentor. They are excellent resources for you.
Department:
UVa E-mail Address:
Team Members
* List lead student contact first
Name
Major
Year
UVA
Computing
ID
* Joe Cavalier
Computer Science
2nd
jkc5ew
Susie Wahoo
Sociology
3rd
spw8rl
John Hoo
Global Development Studies
2nd
jeh7km
Becky Saber
History
3rd
bns3wx
I. Cover Sheet
2 II. PROJECT PROPOSAL
A good proposal presents sufficient material to convince
reviewers that the study is worth doing and that you know
what you are doing.
Project Abstract
This text will be used for promotional purposes on the JPC website and other publications.
(50-75 words)
This is a short synopsis of your proposal. For examples, please see the JPC project listing Web site
http://www.virginia.edu/jpc/projects.html.
Thesis Statement
State the research question or the hypothesis of your project.
(50-75 words)
The research question is the precisely stated form of the project's intent. It indicates how you will address the problem.
Hypotheses are statements in which researchers make a prediction or a conjecture about the outcome of of a relationship
among attributes or characteristics. They serve, like research questions, to narrow the purpose statement to specific
predictions. Ask your faculty advisor for guidance in generating a meaningful research question or hypothesis.
Introduction
Introduce your topic and identify the problem. Discuss any relevant literature (there is additional
space for bibliographic references at the end).
(Maximum 200 words)
A strong introduction communicates the importance of your project and research topic. It defines the problem that your
project will address. The introduction should include a brief discussion of relevant literature will inform and focus the
purpose of your research. The purpose should be expressed in a clear statement that indicates the intent of the research
you plan to conduct.
What hurts JPC applications are introductions that for problems that aren’t really problems or aren’t really relevant. Pay
attention to scope and scale of your project. If your group is planning to work on water filtration systems, you can talk
about the clean water shortage in the world. BUT, be sure to localize the problem to the specific region, village or town
your group plans to work in. You don’t need to start with grandiose frames for your project like “Since the dawn of time
man has wondered about the origins of the universe.” Be specific and realistic about your project. Be sure to cite previous
JPC projects that have also worked on your project topic or location. It can be both. Ignoring previous JPC projects is not
a good sign that your group has done its research.
II. Project Proposal
3 Methodology
Describe your research methodology. Who/what will you study? How has your site and/or population
been identified? What data will you collect and will you do so? How will you analyze the data? What
are the limitations of your research methods?
(Maximum 200 words)
In this section your team should describe its methodological approach. Think of this section as outlining your strategy for
answering your research question. In addition to addressing the questions above, you should elaborate on your data
collection tools (e.g. instruments, surveys, interviews). Consider including examples of interview questions or attaching a
potential survey as an appendix. The reviewers will want to see that your team has clearly described what you are going
to do and that your plan is "doable".
This is a good time to start thinking about the Institutional Review Board. They oversee research at the university and
ensure it is conducted in manners and methods that respect the research subjects and treat them ethically.
highly recommend talking to your faculty advisor about the best way to collect data for your project. If you are
We
planning
to do surveys, interviews, focus groups, we urge you to look at the IRB application IN ADVANCE. There are
regulations
and rules about the kinds of questions you can ask people and how you can collect the data. IRB is a great
tool
for
you
to start structuring your methodology section.
Anticipated Outcomes
Explain the anticipated outcomes of your JPC research service project, including:
• The service component of your project
• The impact of the project on the community
• The production of new knowledge
• How you will share the findings with your community partner
(Maximum 100 words)
A good proposal will present sufficient material to convince reviewers that the study is worth doing and that you know
what you're doing. The review committee will want to know if your project will benefit the community and how.
This is a place to include any expectations of the community partner. It’s a time to consider the phrase “under promise
and over deliver”. What can you accomplish in your proposed time period? Be specific about how you share your work
with your community partner and in some cases the community members themselves. It is OK to say that the research is
the service part of the project. That’s what makes JPC an academic program. If you plan to share your findings with other
academics at conferences or by publishing in journals besides JPC, please state that here.
II. Project Proposal
4 References
Provide bibliographic information for any published work referenced or cited.
The review committee will want to see evidence that you have done sufficient reading on your topic. Here is an example
of two citations:
Pollan, M. (2006). The Omnivore’s Dilemma: A Natural History of Four Meals. New York: Penguin.
Weinstein, J. I. (2009). The market in Plato’s Republic. Classical Philology 104, 439–458.
Consider citing previous articles from the JPC journal if applicable. The review committee wants to see that you have
done your homework. You can refer to articles about projects that have worked on similar topics (water filtration) or
worked in a similar location (Charlottesville).
Cite credible, academic sources here. Not your roommate’s blog or an informercial. Consult your faculty advisor and
librarians for help identifying credible sources for your research.
II. Project Proposal
5 Continuation of a Previous JPC Project
If this is a continuation of a previous JPC project, please provide the following:
Previous Project Title:
Year of Project:
Faculty Advisor:
Team Members:
Outcomes
Describe the outcomes of the previous JPC project. What did the group accomplish? How were
outcomes measured?
(Maximum 100 words)
Cite outside evidence to testify to project outcomes. What we mean is don’t just self-declare that your project was a
success. What actual data did you and your community partner collect to prove a success? How do you know that project
is still successful? If there were shortcomings from a previous project, it’s ok to state them and explain them here. Have
you followed up on the previous project to determine its status? What feedback did the previous group get from the
community partner? What’s changed? What hasn’t?
How is the new project proposed different from the previous project?
(Maximum 100 words)
Be
specific here. The first group did x, y, z, and this new group will do a, b, c. Take a new approach, explore a new
question, work in a different region, apply the same methodology to a new subject area. Continuation projects should
have
new research questions.
II. Project Proposal
6 III. BUDGET
See the link below for an example budget
BUDGET ITEM
I. Stipends for Team Members
(up to $3,000 per team member)
ITEMIZED COSTS
SUBTOTAL
Your time and energy should be focused on JPC and your project.
The stipend is to ensure all students can participate in JPC. It's
intended to prevent students from opting out of the program due to
lack of funding.
II. Travel Expenses
A. Transportation
For example:
Plane tickets, bus tickets, train tickets, taxi fares, car
rental, car Insurance, gas
Trip cancellation insurance
Public transportation
Visa fees
B. Living
Hotel or housing accommodations
Food
C. Medical
Immunizations
Medications & prescriptions related to travel (e.g.
malaria)
Medical evacuation insurance
III. Project Materials and Supplies
For example:
Printing, copying
Internet access, software
International cell phones
Translators
Transcribers
Training or workshop fees
Small thank you gifts for hosts
Hospitality for community events
Physical equipment
Building materials
TOTAL AMOUNT
REQUESTED
(Maximum=$30,000)
For a sample budget see: http://www.virginia.edu/jpc/docs/SampleJPCBudget.pdf
III. Budget
7 IV. PRELIMINARY WORK PLAN
A detailed series of questions prompting the development of a work plan can be found on the JPC
website: http://www.virginia.edu/jpc/docs/JPCProjectWorkPlan.pdf. Briefly summarize a preliminary
work plan using the chart below as a guide. Format the chart to suit your project and attach as a
separate page.
Regardless of how you choose to format the chart below, it should be clear
and easy for the committee to read.
GOALS &
OBJECTIVES
ACTIVITIES
OUTCOMES
(DELIVERABLES)
IMPLEMENTATION
STEPS
PROJECT
TIMELINE,
DATE TO BE
COMPLETED
TEAM
MEMBER
RESPONSIBLE
RESOURCES
NEEDED
This is a critical part of your JPC application. It really comes
down to the "doability" factor. Have you mapped out the steps
properly? Have you allotted enough time to each step? Do
you have all the steps or have you missed
some pieces?
Which team members are assigned to what tasks? Do you
have the right people on the job? Be sure to leave your group
time to get to know the community and the community
time
organization.
If you're traveling
abroad, you'll
also need
to adjust to jet lag, different food, new sleep patterns etc. The
major mistake applicants make here is attempting to do TOO
MUCH in TOO LITTLE time. Being too ambitious and
reformat in Excel
unrealistic.
Go ahead and
or do a Gant
chart.
Work Plan adapted from Tufts University, January 2009.
IV. Preliminary Work Plan
8 V. TEAM MEMBERS
Each member of your team must complete a copy of this section, sign the endorsement, and attach
an unofficial copy of a current academic transcript.
Project Title:
Name:
Student ID #: (To identify you for an eventual transcript notation)
Cellphone: (The JPC team uses text messages to communicate)
Academic Advisor:
Academic Advisor’s E-mail Address:
Statement of Purpose
Describe your role on this team and what you expect to contribute to this proposed JPC project.
Include any prior community engagement and service, related coursework, and/or participation in
workshops, lectures, and special training.
(Maximum 200 words)
This is the place to list courses you’ve taken, other service work you’ve done, leadership positions, languages you
speak, travel experience. ANYTHING that connects to the JPC project being proposed. What is your special
contribution to the team? ALSO, if there are any questionable parts of your transcript, this is the place to address it
(time off, a poor grade in a class, etc.)
V. Team Members
9 Goals
Please list three learning goals for yourself that you hope to reach by the end of the JPC project:
For example, you may want to learn how to become a better public speaker, build teamwork skills, learn how to use
SPSS statistical software, or improve your writing. We will ask you to reflect on these goals again after the completion of
your project.
These are goals specific TO YOU and to what you want to get out of the JPC program.
Please three goals you have for the JPC project:
Be specific here about what you want the project to accomplish. IT is OK To discuss these with your team mates and
include the same goals as they do. IT’s ok to have some additional goals that you would like for the project. The key
here is to be consistent, be specific, be tangible, and be reasonable. Ending world hunger is a laudable goal but not
achievable in a summer with one JPC project. Wouldn’t it be great though?
V. Team Members
10 Team Member Endorsement
Please initial each of the following statements and sign below:
I promise to adhere to all JPC Award procedures, including the submission of my mid-term report,
final project, and presentation. __________
If the project involves human and/or animal subjects, I will seek advice from my faculty advisor, and I
will comply with the policies of the University’s Institutional Review Boards. __________
If the proposed JPC project involves international travel, I understand that:
I may not travel to any location with a U.S. State Department Travel Warning and, if such a warning is
issued while I am abroad, I must leave the country immediately in the safest manner possible.
(http://travel.state.gov/travel/cis_pa_tw/tw/tw_1764.html). Prior to my departure, I will register with the
International Studies Office, attend a pre-departure orientation, and comply with any other ISO
requirements. www.virginia.edu/iso. __________
I am responsible for obtaining a visa and/or work or other permit required for my intended destination.
__________
I am responsible for getting appropriate inoculations and overseas health/emergency
coverage.__________
If I am an international student, I will consult with an international student advisor about my visa
status. __________
International students should check on what receiving JPC funds may
mean for their taxes. Talk to an advisor in the international studies
office.
_______________________________________________________________
Signature of JPC Team Member
____________________________________
Date of Signature
Insert an unofficial copy of your current academic transcript behind this page.
V. Team Members
11 VI. FACULTY ADVISOR
Your JPC Faculty Advisor must read and initial the following statements and sign below.
I agree to advise following proposed JPC project:
(Insert Project Title)
I approve the proposed JPC Project budget and will work with the students on the financial
management and fiscal responsibilities of their project. __________
If the project involves human and/or animal subjects, I will advise my students to comply with the
policies of the University’s Institutional Review Boards. I understand that I also may be required to
undergo online IRB training. __________
If the project involves international travel, I will advise my students to register with the International
Studies Office, submit the Travel Form For Student Research And Service-Learning Abroad, attend a
pre-departure orientation, and comply with any other ISO requirements. __________
I will review the team’s final project and submit a final academic evaluation of the JPC project to the
Office of University Community Partnerships when requested. __________
I understand that I will be asked to participate in meetings or events related to the JPC program
including the students’ final presentations. ___________
1) Please state the research question this project is seeking to answer:
It’s important that the JPC project have a specific research-based question that it seeks to answer.
2) Please list three goals that you want the students to accomplish by the end of the project. These
can be accomplishments of the team in terms of their own learning, research process, overall project
success, and/or products or impact for the community.
These are goals you as an advisor want the students to achieve with their JPC project. They can be tangible
outcomes or products for the community partner. They can be academic concepts or principles. They can also be
about the students’ intellectual and personal growth. We will ask faculty advisors to review these goals again, and the
students progress toward them, at the end of the JPC project.
.
_______________________________________________________________
Signature of Faculty Advisor
____________________________________
Date of Signature
JPC asks that the faculty advisor also write a letter of recommendation. Please insert the letter behind
this page.
VI. Faculty Advisor
12 VII. COMMUNITY PARTNER
Community Partner Organization:
Website:
Address:
Community Partner Contact Person:
Title:
Phone Number:
Email:
What is your understanding of the time commitment needed from the students (hours per day, days
per month)?
If the community partner cannot fill out this form directly, please ask that they answer these TWO questions in their
endorsement letter for your project. The second question is a reflection on how the JPC project and students may help
the organization move forward. The partner does not have to commit any financial resources but rather just speculate on
how the JPC project will help make a difference for them.
What are your expectations for how the JPC students can help your organization achieve its goals?
See above.
JPC requests that your community partner organization write a letter of endorsement for your
proposed project, ideally on organizational letterhead (if your partner is not in the U.S., this letter may
be submitted in the body of an e-mail). Please insert the endorsement letter behind this page.
VII. Community Partner
13 VII. COMMUNITY PARTNER
Community Partnership Agreement
The following statements affirm the responsibilities for each of the parties involved in this community
partnership. Checkboxes and signatures, below, confirm that each partner has read, understood and accepted
this agreement.
JPC Team:
□ We will respect and abide by the community organization’s guidelines and policies.
□ We will respect and abide by all applicable guidelines, policies, and procedures of the University of Virginia.
□ We will discuss any school holidays or breaks with the community partner before the start of the project, and
we will notify him/her if we must be late or absent.
□ We understand our commitment to the organization and the community partner, and we will be dependable.
□ We understand the expectations and goals of the project we will complete.
□ We will address challenges and/or concerns with our faculty advisor and the community partner.
□ We will maintain efficient and consistent communication with the organization and our faculty advisor as
agreed upon.
□ We will meet with the community partner and faculty advisor in order to receive feedback throughout our
work.
□ We will complete any necessary evaluation at the end of our project.
□ We understand and agree that assignments made pursuant to the JPC and this agreement involve
unavoidable risk, despite the best efforts of the University of Virginia to provide for our health and safety, and
we hereby assume all reasonable risk associated with our participation in the JPC.
Signature of lead student contact:___________________________________
Date signed: _________________
If the community partner cannot sign the agreement in person, ask them to attest
to their agreement to the basic responsibilities listed her in their letter. Again they
Community Partner:
do need to agree to commit any financial resources to this project.
□ I will provide an orientation to the organization, and I will be clear about my expectations.
□ I will give appropriate time and effort to effectively collaborate with the students, and I will give feedback as
appropriate.
□ I will address challenges and/or concerns with the students and the UVa faculty advisor.
□ I will maintain efficient and consistent communication with the students and the UVa faculty advisor as
agreed upon.
□ I will complete any necessary evaluation at the end of the students’ project.
Signature of Community Partner Contact Person:___________________________________
Date signed: _________________
UVa Faculty Advisor:
□ I will maintain an open relationship with the organization and community partner.
□ I will give appropriate time and effort to effectively advise the students, and I will give feedback as
appropriate.
□ I will address challenges and/or concerns with the student and the community partner.
□ I will maintain efficient and consistent communication with the student and community partner as agreed
upon.
□ I will complete any necessary evaluation at the end of the project.
Signature of Faculty Advisor:___________________________________
Date signed: _________________
Agreement adapted from Tufts University, January 2010
VII. Community Partner
14 VIII. RESEARCH PROTOCOLS
Institutional Review Board If your proposed JPC project will involve working with human or animal subjects, your work may be
subject to approval by the Institutional Review Board (IRB). The IRB ensures the university’s
compliance with federally mandated research guidelines. If awarded, your JPC proposal will be
forwarded to the IRB and you will receive a message indicating whether your proposed project will
require an IRB submission. If so, you MUST submit an IRB protocol form. For more information on
the IRB, we strongly encourage you to watch a brief presentation available online at:
http://www.virginia.edu/vpr/irb/learningshots/Undergraduate_Research/player.html
¨ This JPC Project will involve working with human or animal subjects.
If yes, and you are awarded JPC funding, your project will be forwarded to the IRB for review.
International Travel
If your proposed JPC project will involve international travel, you will need to complete: 1) the
International Studies Office’s (ISO) Travel Form For Student Research and Service-Learning Abroad
(a two page pdf form) and 2) an online registration. The purpose of these forms is to help your group
reflect on and prepare for the unique conditions, opportunities and challenges of proposing to conduct
a JPC research and service project outside of the United States. Knowing that you may not have all
the details of your project at this time, we ask that you provide as much information as possible. Your
responses will also be considered during the review of your JPC project application. In addition to
answering several questions about preparing for a JPC project abroad, you will need to supply your
travel dates and travel destination at time of online registration. Start your application one week in
advance to ensure yourself sufficient time to complete the form. See:
(http://www.virginia.edu/jpc/docs/2011-12-InternationalTravelFormGuide.pdf)
¨ This JPC Project will involve travel abroad.
If applicable, please insert an International Studies Office Travel Form for Student Research and
Service-Learning Abroad behind this page.
This is an Honor Code type of
question. We want to make JPC
Additional Funding
accessible to as many students
Please indicate if you are applying for other grants to support this project.
as possible. If you are seeking
funding from multiple sources,
¨ Center for Global Health Grant
¨ Harrison Award
please let us know so we can
¨ Double Hoo Award
¨ Echols Research Grant
distribute our JPC support
¨ Miller Center Grant
¨ Kenan Award
¨ Institute for Practical Ethics Internship
¨ Raven Fellowship equitably.
¨ College of Arts & Sciences Small Research Grant
¨Undergraduate Award for the Arts
¨ Community-Based Grant
¨ Other (please list)
VIII. Research Protocols