Professional Development Funds Request

Applications are reviewed by the Office of the Provost. We will accept applications throughout the year. Please complete this form and submit application by clicking on the "submit" button below.

Name

Employee Type

Professional Faculty

Instructor

Job Title

Department/School

Applicant's Phone #

Applicant's Email

Approving Supervisor's Name

Supervisor's Phone #

Supervisor's Email

Conference/Seminar Name

Conference/Seminar Date

Conference/Seminar Location

Please include detailed responses to the following items:

Brief summary of your proposal in specific terms

Briefly describe what you hope to accomplish through this professional development opportunity (personal/professional benefits)

Provide a detailed budget for the proposed project. Include details on the following as they apply:

Transportation expenses $

Registration fees $

Miscellaneous expenses (please specify amount and description of expense)

Total expenses $

Total matching funds requested* $ *Note: Amount shall be the lesser of 50% of total budget, OR $1000.

How did you learn of this opportunity? If available, please include website address

By clicking "submit", you are confirming that your department has agreed to provide you matching funds for this development opportunity.

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