2007-08
INDIVIDUAL PERSONAL
AND PROFESSIONAL DEVELOPMENT
CLASSES & COURSES
FUND 1
APPLICATION
NOTE: These funds are provided
by the Classified Professional Development Team, and are not bargained
funds
Please print this page and then
fill in the information, or copy and past this page into a word-processing
program.
Submit 3 completed copies
of completed form & supporting documentation to Cheryl Reiter, Cooperative
Education.
There is no guarantee of fund availability
after June 30 of current fiscal year.
Term for which funds are being requested:
Fall
Winter
Spring
Name ______________________________
Phone_______________
Department __________________________
Category of funds requested:
$_______ Tuition (maximum
$500)
$_______ Fees (maximum $150)
$_______ Recommended/required books
& supplies (maximum $200)
$_______ TOTAL (MAXIMUM $500)
For which of the following 3 areas are
you requesting funding?
________Higher degree
This area funds courses, not offered
at Lane, which apply to a degree.
________ Professional development
This area funds fees and books associated
with classes at Lane, generally going toward a degree or certificate.
________ Personal development
Any Lane course not falling into the
above categories of Higher Education or Professional Development.
Please answer the following questions:
1) How does this course fit in with
your personal / professional development or higher degree education goals?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
2) How does this course enhance your
contribution to Lane Community College?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Date received ______________
Approved/declined ________________
Notified applicant ___________
Receipts received from applicant _______
Verification of course completion
______ Payment forms sent to College Finance______
