COURSES OR WORKSHOPS RELATED TO RESEARCH OR TEACHING
(FORM 3)

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ID NO:     

NAME:      DEPT:   
 
OFFICE ADDRESS:     EXT:      
 
SIGNATURE:  line   DATE:   

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Description of course or workshop: (Include the location, duration, major topics to be covered, and the group to whom the course is directed. Copies of material describing the course or workshop must be attached. Indicate whether this course or workshop is being offered in conjunction with a professional/conference. Applications must be submitted at least four weeks prior to the beginning of the workshop.)


 
Justification: (In what ways would attendance at this course or workshop aid your teaching or research?)


 
 
 

EXPENSES RELATED TO THE COURSE OR WORKSHOP

Category (check one):  Travel to professional meeting/conference
   Not associated with a professional meeting/conference

Inclusive dates of trip:  
 
Tuition ($500 maximum per academic year)   $
 
Travel:*   $
 
Daily subsidy:*   $
 
       TOTAL REQUEST

$

Note:


If a course or workshop is offered in conjunction with a professional meeting or conference it will be charged against the meeting/conference allocation.

If the course or workshop is not related to a professional meeting or conference, please follow guidelines in Section I. 4. of Funding for Faculty Development.

After you press the DISPLAY button, you will see a formatted copy of your information. At that point, PRINT the application and send to:

Assistant to the Associate Provost and Dean for Academic Development, College Hall 206

Your information will not be transmitted electronically.
     

Once you have clicked the "Display" button, and your information from above is re-displayed (in a new format), print the form from your browser. Use the print button at the top of your browser screen, or go to "File" and choose "Print."