SAFRA Smart Classroom Activity Request Form

SAFRA Smart Classroom Activity Request Form


The SAFRA Smart Classroom Activity Request form should be used to request SAFRA grant funding. The request must meet the SAFRA Objectives listed below and support instructional use of technology by faculty and students in the classroom.


Requester Information

Grant Activity Information

Select all that Apply

Please specify

Describe the problems you plan to address through the activity.

Building and Room Number

Describe what you are trying to accomplish through the activity.

List others who will work on this activity with you.


I hereby acknowledge that if the grant is approved, I, the requester, am responsible for providing the following information to the Distance Education & Teaching Excellence office.

  • Evaluation results to prove how this project impacted student success and retention.
  • Equipment serial numbers if applicable
  • Travel Form if applicable

I have discussed this request with my supervisor and have been granted approval to proceed with the request.

Required if you are faculty or staff

full email address