Chapter Grants and Teacher Recognition Subsidy Application

Application Deadline: March 1 annually, unless otherwise specified

Decision Notification: May of the corresponding year

Sigma Xi is committed to diversifying its membership, programs, and the broader scientific and engineering research community. The Society welcomes participation by individuals from groups that are historically underrepresented in science, technology, engineering, and mathematics (STEM).

To help achieve this mission, Sigma Xi offers chapter grants and teacher stipends. The Society encourages award applicants to collaborate with other chapters or to identify matching support from other sources that can enhance the effectiveness of their proposed initiatives. Grants are normally awarded to new projects as a onetime source of support.

Grant applications are evaluated by the Committee on Qualifications and Membership. For submission guidelines, application requirements, and review criteria, please refer to the Chapter Grants website: www.sigmaxi.org/chapter-grants

If you have any questions, please contact chapters@sigmaxi.org

Chapter Information:

Chapter Name: *

Chapter Contact First Name: *

Chapter Contact Last Name: *

Chapter Contact Email: *

Chapter Country: *

Chapter Address Line 1: *

Chapter Address Line 2:

Chapter City: *

Chapter State:

Chapter State: *

Chapter Province: *

Chapter Postal/Zip Code: *

Position on the Chapter Board (select one): *

Please Select the Grant Type: *

Science, Math, and Engineering Education (SMEE) Grant

Diversity Grant

Multi-Chapter Grant

Teacher Recognition Subsidy Request

Science, Math, and Engineering Education (SMEE) Grant:

Two grants are available, up to $2,000 each.

Project Title *

Date Project Begins: * +

Date Project Ends: * +

Proposed Budget (Maximum of $2,000): *

Project Director (if different from the chapter officer submitting the application):

Email: *

Daytime Phone: *

Country: *

Address Line 1: *

Address Line 2:

City: *

State:

State: *

Province: *

Postal/Zip Code: *

Is this project co-sponsored? *

Yes

No

Please indicate the nature of each sponsor’s contribution: *

Please upload your SMEE Grant proposal, including program budget:
(Allowed file types are: .pdf, .doc, .docx, .xls, .xlsx, .txt, .rtf, .zip) *

Diversity Grant:

Two grants are available, up to $1,000 each.

Project Title *

Date Project Begins: * +

Date Project Ends: * +

Proposed Budget (Maximum of $1,000): *

Project Director (if different from the chapter officer submitting the application):

Email: *

Daytime Phone: *

Country: *

Address Line 1: *

Address Line 2:

City: *

State:

State: *

Province: *

Postal/Zip Code: *

Is this project co-sponsored? *

Yes

No

Please indicate the nature of each sponsor’s contribution: *

Please upload your Diversity Grant proposal, including program budget:
(Allowed file types are: .pdf, .doc, .docx, .xls, .xlsx, .txt, .rtf, .zip) *

Multi-Chapter Grant:

The Multi-Chapter Grant Program funds qualifying collaborations at a maximum of $1,000 annually for a two-year activity run ($2,000 total per collaboration). Up to two new distinct multi-chapter initiatives will be funded each fiscal year.

Title of the Multi-Chapter Collaboration: *

Date Project Begins: * +

Date Project Ends: * +

Proposed Budget (Maximum of $2,000 over two years): *

Project Director (if different from the chapter officer submitting the application):

Email: *

Daytime Phone: *

Country: *

Address Line 1: *

Address Line 2:

City: *

State:

State: *

Province: *

Postal/Zip Code: *

Participating Chapters
(up to four chapters may collaborate on one application)

First Collaborating Chapter:

First Collaborating Chapter Name: *

First Collaborating Chapter Contact: *

Do you need to add a second collaborating chapter?: *

Yes

No

Second Collaborating Chapter:

Second Collaborating Chapter Name: *

Second Collaborating Chapter Contact: *

Do you need to add a third collaborating chapter?: *

Yes

No

Third Collaborating Chapter:

Third Collaborating Chapter Name: *

Third Collaborating Chapter Contact: *

Please upload your Multi-Chapter Grant proposal, including program budget:
(Allowed file types are: .pdf, .doc, .docx, .xls, .xlsx, .txt, .rtf, .zip) *

Teacher Recognition Subsidy Request:

Chapter may apply for this award year-round.

Name of Teacher: *

Name of School: *

School Country: *

School Address Line 1: *

School Address Line 2:

School City: *

School State:

School State: *

School Province: *

School Postal/Zip Code: *

High School Teacher Recognition Award includes $50 stipend from Sigma Xi for Teacher (Chapter agrees to match the amount of at least $50) and commemorative certificate with cover.

Please select a payment method: *

EFT to the chapter

Check to the chapter

Electronic Signature

By checking the box below, I attest that I am a chapter officer, authorized to make this submission on behalf of the chapter and other collaborators.

*

I agree.

Chapter Grants and Teacher Recognition Subsidy Application

Chapter Information:

Science, Math, and Engineering Education (SMEE) Grant:

Diversity Grant:

Multi-Chapter Grant:

Participating Chapters (up to four chapters may collaborate on one application)

First Collaborating Chapter:

Second Collaborating Chapter:

Third Collaborating Chapter:

Teacher Recognition Subsidy Request:

Participating Chapters
(up to four chapters may collaborate on one application)