Professional Development Application Form

Professional Development Application

If you are interested in applying for professional day leave and/or professional development money, please complete the following information.  This application must be submitted 30 days prior to the event.

Name_________________________________________________________

Department____________________________________________________

Date of Event___________________________________________________

Date of Application_______________________________________________

Specify leave and/or monetary amount____________________________________

__________________________________________________________________

Please provide detailed answers to the following questions:

Why are you applying for professional leave and/or money?

How does this leave and/or money contribute to your professional growth?

Would you be willing to share your experiences with the faculty?  How could you do this?

How could your experiences touch your students?

Date Received_____________________________________________________

Reviewed by: ______________________________________________________

Request Approved:              YES              NO

Reason Denied: ________________________________________________________________

________________________________________________________________