Professional Development Application

Up to $450 can be rewarded upon request. Additional funds may be requested and will be awarded at the end of the year. If money is available. Your application will be reviewed and notification will be sent to you within two weeks.

Name: Phone Number: Email:

Position: Department:

Supervisors Name: Supervisors Email:

Name of Conference/Activity: Location:

Briefly describe how this training will improve the work you do with students:

Please itemize your actual or expected expenditures as accurately as possible.

Are you receiving funding for this trip from another source, if so, how much and what source?:

Conference/Activity Registration Fee:

Airfare: Taxi Fares: Toll Road Fares:

Rental Car Fares: Shuttle Fares: Parking Fees:

Name of Hotel/Motel: Number of Occupants:

Total cost for stay: Total cost for food:

Other Expenses (please specify):

*Copies of reciepts must be produced to receive reimbursement*

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