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 $500)
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?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
How will the conference or workshop
you are interested in attending enhance your contribution to Lane Community
College?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
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 at www.lanecc.edu/cpdt/ippdguidelines11.html
Please submit 1 copy of completed form
& 1 copy of supporting documentation with 1 completed travel form to:
Chris Hainley, Student Financial Services,
Building 1, Financial Aid Area, ext 5350
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 ______
