CFA Research/Creative Activity and/or Engagement Report

CFA Research/Creative Activity and/or Engagement Report
Some responses are optional. Please complete to the best of your ability.
Name

First NameLast Name
Faculty Rank or Staff Title
Home Unit
Research Collaborator (if applicable)

First NameLast Name
If you have a research team, please add all members of the team and their institutions (if outside UK) and/or their college (if inside UK)
First last, college, institution
Faculty Rank or Staff Title
UKY Email
example@uky.edu
Professional Website if applicable
What are you reporting?
What best describes the type of Research/Creative Activity you are reporting?
Article/Book/Chapter/Paper Title
Publication Abstract
Journal Name or Publisher
Date of Publication

MonthDayYear
Date
Link to Publication
Title of Presentation
Presentation Abstract
Name of Conference
Conference Location
Presentation Date

MonthDayYear
Date
Exhibition Name
Exhibition Description
This could be copied from their catalog or website.
Name of Exhibition Space, Museum, Festival, Fair, Gallery, Extension Office, Community Partner, etc.
Location of Exhibition Space, Museum, Festival, Fair, Gallery, Extension Office, Community Partner, etc.
City, State/Province, Country
Opening Day of Exhibition

MonthDayYear
Date
Link to Exhibition/Venue Website
Performance Name
Performance Description
Performance Venue
Performance Venue Location
Performance Date or Opening Date

MonthDayYear
Date
Link to Performance Venue
What type of community engagement is this?
Other: If none of the categories above are sufficient to describe the community engagement or research/creative activity you are reporting, please enter information here.
Name of school, community center, UK Extension office, or other
Name of coordinating teacher(s), or program coordinator(s)
Coordinating teacher or program coordinator email address
Coordinating teacher or program coordinator phone number
Is the coordinating teacher or program coordinator a UK Alumn? (if known)
Date of the event/visit

MonthDayYear
Date
Number of students or community members who participated/were present.
Is there anything else you would like CFA leadership to know about this recruiting/engagement event?
If there was an event, program, opening reception, conference, symposium, book launch or tour, or the like, how many people would you estimate were in the audience/participated in the event?
Sponsor Name
Sponsor Website
Grant Amount
In dollars
Beginning Date of Funding

MonthDayYear
Date
Project Title
Abstract
Name of agency or organization giving award
Agency/organization's website
Agency/organization location
Award title
If funds were awarded, amount of award
In dollars
Award description (Is this award for work completed or for work to be completed? Please provide context.)
Fellowship Description
Residency Name
Residency Theme (if applicable)
Beginning Date of Residency

MonthDayYear
Date
End Date of Residency

MonthDayYear
Date
Is this residency funded in part or in full?

Other
Summary of project or work description
Images or other applicable documents

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