S.H.R.I.M.P.

Student Health at Rutgers Independent Mini-Grant Program

The Office of the Vice President for Student Affairs

Request Form

Health for Students by Students

SHRIMP puts health promotion into students' hands. This student-run activity seeks to fund creative student-developed projects that will foster a healthier Rutgers community. A student review board evaluates all applications and will contact you after receiving your submission. Criteria for acceptance includes: being a new program, building partnerships or connections on campus, helping students build needed skills, creating something sustainable (not a "one shot" program), having an impact on student health and addressing an unmet need. If you would like to be a part of the student review boards, please contact healthed@rci.rutgers.edu.

Please provide the following contact information:

Name

Home Phone

E-mail

What are you calling your idea?

What is your idea? (creativity encouraged)

How will you accomplish this?

How does this promote the health of our community?

How much will it cost? How much of that will you need from us?

How much time do you think you will need in order to complete this project?

Any comments, questions, or concerns about this project?

Where did you hear about SHRIMP? If it was a student paper, please state which one:

Please fill out the following fields only if they apply:

Student Organization / Club(s):

Officers:

Name of Advisor.

Last Modified 12/22/2005