INDIVIDUAL PERSONAL AND PROFESSIONAL DEVELOPMENT Conferences/Workshops
FUND II APPLICATION

NOTE:  These funds are provided by the Classified Professional Development Team, and are not bargained fund.

Please print this page and then fill in the information, or copy and past this page into a word-processing program.

Term for which funds are being requested:  Fall ____ Winter  ____  Spring ____

Name ______________________________      Date ______________________

Department __________________________     Phone _____________________

Total amount of funds requested:

$_______ Conference/workshop fee / travel / food (maximum $350.00 annually)

Of the two following areas, for which one are you requesting funding?  You may check two areas if appropriate.

 ________ Professional development

This area funds workshops and/or conferences for seminars that could help your skills in the workplace but is not necessary to do your job and is not being paid by your department.

 ________ Personal development

This area funds workshops and/or conferences for skills that you want for personal enrichment and/or development.

How does this conference/seminar fit in with your Personal or Professional development goals? _____________________________________________________________________________________

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How will the conference or workshop you are interested in attending enhance your contribution to Lane Community College? _____________________________________________________________________________________

_____________________________________________________________________________________

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I agree in the event that funds have been paid by Lane Community College, I am obligated to attend the workshop/conference described in this application.  I understand I am financially responsible for the repayment of funds if I do not attend the funded activity

___________________________                         _______________

                  Signature                                      Date

Please note that funds are limited.  There is no guarantee of funds being available after June 30 of this current fiscal year.

In the event that there are more applicants than funding, priority will be given to:

1.  Those not previously receiving funding during the current fiscal year;
2.  Those who can show evidence of a plan for personal/professional growth (i.e, IEP);
3.  Seniority.

Due to varied dates, times, and locations of conferences and workshops, the deadline for submitting your application is approximately 45 days prior to the event.  Exceptions may be made for shorter timelines based on the availability of the CPDT review committee.

For additional information, please refer to IPPD II guidelines.

Please submit 1 copy of completed form & 1 copy of supporting documentation with 1 completed travel form to:

Irene Willoughby, DTC, Continuing Education (ext 5909)

Date received ______________ Approved/declined ________________
Notified applicant ___________
Travel form sent to College Finance ________________
Receipts received from applicant and reconciliation sent to College Finance   _______
Written Evaluation submitted ______

Contact us at  Classified Professional Development Team