Proposal for Learning Technology for the Indianapolis Campus

Please fill out this form to submit a proposal for funding to the Indianapolis Student Learning Technology Committee. The committee will discuss at their next meeting. If approved, the committee will make a recommendation to fund the project to the Senior Associate Dean for Medical Student Education for final consideration.

Before submitting your proposal, please see Project Requirements and Considerations under IUSM Statewide Guidelines for Student Technology Fund Committees.

Name * Required
First Middle Last
Email * Required
Select a role * Required
- Medical Student
- Faculty
- Staff
Proposed Item * Required
Brief Description * Required
Anticipated educational impact/rationale
Course(s) impacted (if any)
If you are a student, consider partnering with a faculty member from the course or courses
Number of students per year impacted (estimated) * Required
Type of Costs
Estimated total cost to implement
Supporting equipment/technology start-up cost
Ongoing equipment, maintenance, training, other costs
Cost sharing available?
- Yes
- No
Recurring or one-time cost? * Required
- Recurring
- One-time
Please describe the costs.
Recurring purchase of supplies to support the item?
- Yes
- No
Key Personnel * Required
Name and email per line.
Additional Information

Proposal for Learning Technology for the Indianapolis Campus

Type of Costs