2019 Global Field Experience Financial Award (GFEFA) Application for Funding

Dear prospective applicant:
BEFORE you apply on this form, please do the following:

Read these two sites very carefully and follow all of the preparation steps.
1. https://www.sph.emory.edu/rollins-life/community-engaged-learning/global-field-experience/index.html
2. https://www.sph.emory.edu/rollins-life/community-engaged-learning/global-field-experience/students/index.html
Compile all of your responses to the items on this application in advance as a word processing document. A sample of the application as a word document can be found here.
Only then, and after your faculty guide has filled out their confirmation form, are you ready to apply using this student funding application form.
The deadline is Thursday, February 21 at 9 pm.

Thank you and good luck!

Student Contact Information

First Name

Last Name

Student ID (7 digits)

Department

Concentration (if applicable)

Cell Phone Number (U.S.)

Mobile Number (International, if known)

Emory Email Address

Non-Emory Email Address

Skype Contact Info (if applicable)

WhatsApp Contact Info (if applicable)

Emergency Contact (a friend or family member who will not be traveling with you who can be reached in the event someone needs to make decisions about your welfare if you are incapacitated abroad.)

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

Project Information

Title of Project

Country in which field experience will take place:

Length of proposed field experience (minimum of 6 weeks required)

Name of RSPH Faculty member offering guidance of your GFEFA Application (must be RSPH Faculty or Adjunct Faculty)

Department of RSPH Faculty member offering guidance:

Will your GFE be used for your:

Prior classes taken, or to be taken before departure, relevant to your methodology (please list):

Prior experiences relevant to your proposed summer field experience:

How did you find this field experience opportunity?

Fieldwork Topic

Select all that apply:

Behavior change

Community Health and Development

Emergency preparedness and Humanitarian relief

Environmental health

Gender Based Violence

Health care systems

Immunizations/Vaccinations

Infectious Diseases (Specify)

Maternal, Newborn and Child health

Mental Health

Non-Communicable Diseases (Specify)

Sexual and Reproductive Health

Water Hygiene and Sanitation

Other (Specify)

Infectious Disease - Specify which disease

Non-Communicable Disease - Specify which disease

Other (specify)

Methods and Tools Used (Select all that apply)

Select all that apply:

Quantitative

Qualitative

Case Study

Other (Specify)

Other (specify)

Organization Level(s)

Select:

Domestic (local) Organization

Domestic (national) Organization

Faith-based Organization

Foreign Agency (USAID/UKAID)

International Organization (WHO, UNAIDS)

Non-Governmental Organization

Fieldwork Purpose

What is the main activity you will be doing during your field experience?

Community Assessment

Data Collection

Education

Evaluation

Monitoring and evaluation

Program Development

Program Implementation

Surveillance

Other (Specify)

Other (specify)

Field Site Information

Host Organization

Name and Title of in-country contact you will be working with or have been in communication with at the host organization with contact information (MUST include in-country phone and email, Skype, or WhatsApp if applicable)

In-Country Contact Name

In-Country Contact Title

In-Country Contact Email

In-Country Contact Phone Number

In-Country Contact Skype ID (if applicable)

In-Country Contact WhatsApp ID (if applicable)

Contact information for any other contact that you are working with (may be US-based):

Other Contact Name

Other Contact Email

What is the English language proficiency of your site contact?

What is your site contact's primary language?

What is the primary language of the area in which you will conduct your GFE?

What is your proficiency in that language?

If you are not proficient, what plans have you made for hiring translators or otherwise managing communication and cultural competency?

What contributions or support is the host organization providing, if any?

Have Emory students worked with your host organization previously?

Yes

I didn't check

Are other Emory students planning to work there in 2019?

Yes

I don't know

If other students are involved, how will their role(s) differ from yours?

Section I Abstract

Provide an abstract of your proposal, An abstract should include summary statements about your project’s importance, objectives, methods and deliverables. (max 250 words)

Section II Detailed Narrative

Essential background, context and motivation for the work that you will be doing. Please include information on the significance of the proposed work and why it is important to the specific country and community where you will be working and to the field of public health. This section should include a brief literature review. References/Citations should be uploaded as a separate file at the end of this form and do not count toward the word limit. (max 500 words)

Project objectives. Clearly identify your research question or project scope. Describe the objectives of your project. Use SMART objectives, that is, your objectives are Specific, Measurable, Achievable, Realistic and Time-bound. Be sure to clearly define your specific role and responsibility in the project. If these are embedded in a larger project or a team, show the relationship and where your discrete project fits in the larger project. (max 250 words)

Methods. What methods will you use to achieve the objectives of the project? Be specific. All proposals are not necessarily research proposals, but you still must have methods to achieve your objectives.

If you are not experienced and prepared in the methods you propose, are there other methods you might use to assist the organization and achieve your goals?

If your project puts you or your beneficiary/target group at increased risk, you must detail how you will mitigate the risk (this includes physical risk but also emotional or stigma-related risk if working with certain topics and/or populations). If you are working with communicable diseases or a population experiencing an outbreak, you must include your Personal Protection in Outbreak (PPO) considerations.

If you intend to conduct data collection, provide a copy of your instrument as an attached file. It may be in draft form. Explain how you will complete the instrument, the data collection process and the report. If you will conduct an evaluation, provide the evaluation instrument or plan. If you are going to participate in developing or implementing a training program, provide a draft curriculum. Include draft tools as attachments, indicating you will revise in-country based on input from your stakeholders.

Committee concerns in the past have most often been in the areas of ethics and research methods. Please review your proposal carefully with a faculty mentor well in advance. For example, if you plan to conduct focus groups of adolescents in an STI clinic in Uganda – what are the ethical implications and considerations regarding stigma, limits on confidentiality, working with minors, discussing sexuality, etc. (max 350 words)

Upload Draft Project Documents (If you have more than one document, please merge into one file before uploading.)

Deliverable(s). Provide a detailed description of the deliverables that you will provide to the organization/community and how you plan to share this information with stakeholders. (Examples of deliverables include a final report, a curriculum, a training module, an evaluation, a research study manuscript, draft legislation or policy proposal, etc. (max 200 words)

Learning objectives and career goals statement. What skills, knowledge and experience do you want to gain as a result of the project? How does this project relate to your career goals?

This is also the section where you would describe any previous qualifications (i.e. experience, language) that justify how you are the appropriate person to complete this project and describe how this experience will utilize your public health practice and any additional perspective. Describe your previous training, coursework or other preparation (mentoring support from faculty experts; online course; etc.) in the specific methods to be utilized (survey research, interviews, focus groups, evaluation, curriculum development, needs assessment, etc.). (max 200 words)

Upload your CV or résumé. Be sure that the CV or résumé reflects the experience or qualifications indicated in your career goals section. (Get help in advance from the staff in Career Services or one of the Career Development Ambassadors.)

Timeline. Global field experiences must be at least 6 weeks in duration. Describe your specific project plan for the time that you will be in the field as well as any additional preparations before departing and steps that you must complete upon your return. As you prepare your timeline, consider the potential impact of the rainy season in some regions, the potential impact of Ramadan or other holidays or festivals in your host community; how long might it take to build relationships in-country to facilitate access to the populations on which your project depends? Be sure to include plans for sharing your findings while you are in-field and any necessary follow-up.

Create a GANTT chart and provide this along with your application as an uploaded attachment. See GANTT chart

Upload GANTT Timeline/Chart

Budget. Detail the budget for your project and the expected source of funds for each line item. Consider language requirements and your ability to mitigate any translation and cultural understanding concerns. Budget for a translator or local teams if applicable.

GFE financial awards will not cover all expenses.

Upload Budget

Section III Letter of invitation

You must upload a letter of invitation from the organization with which you will be affiliated during your summer field experience. (NOTE: It is important that a discussion of the following points and any necessary negotiations happen early during the program development stage and not merely as a technicality for the proposal submission.)

The letter should include:

Name and position of supervisor and/or mentor in the organization and the individual’s contact details. (NOTE: The letter must be signed by an official representative of the organization but if there is another representative who will serve as your main contact in the field, that information must also be included.)

Statement that the organization knows about and approves your project and the timing of your visit.

Statement of value that your project will have for the organization/community and any agreement of expectations for what you will provide as deliverables for your project or during your stay.

Support or resources the organization may be able to provide or that they are able to help identify (i.e. local transport, office space, translators, assistance finding housing) NOTE: This letter is intended to appropriately communicate expectations and available resources and does not serve as a guarantee that any support or materials will be provided upon arrival.

Statement of whether local IRB/ethics committee approval is required and if so, whose responsibility it is to complete this and when it will be submitted.

Upload Host Letter

Upload References/Citations