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Student Affairs Staff Development

Application for Professional Development Scholarship

Applicant Information

Name

E-Mail

Campus Phone

Department

Position

Name: Supervisor, Title

Funding Information

Amount allocated to you currently for professional development: $

Total cost of the project/event for which you are requesting funds: $

Registration: $

Travel/Lodging: $

Meals: $

Other: $

Matching/supporting funds being contributed for this request: $

Amount of funding you are requesting from Scholarship Fund: $

Please provide the following information:

Briefly describe the project/event for which you are requesting funds.

If you currently have funds allocated from your department for professional development, please describe how you plan to use the departmental funds.

Will you or your department be contributing supporting funds for this professional development opportunity? If so, how much?

What other conferences or professional development have you attended or plan to attend this academic year?

What is the date of this project/event (if applicable)?

How will participation in this project/event enhance you professionally and/or personally?

How will participation in this project/event enhance your department, the Division, and/or the University community?

How will you share your newfound knowledge or resource with your colleagues within the Division of Student Affairs?

I acknowledge that I have spoken to my direct supervisor and he/she is in support of this request and as such will grant release time in order to participate in this endeavor.

Please initial here:

Date of Submission:

Page updated: 08-Oct-2007

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Staff Development
The University of North Carolina at Greensboro
Greensboro, NC 27402-6170

Spring 2006 Recipients

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2004 Recipients

2003 Recipients

Get involved!

Student Affairs Staff Development

Application for Professional Development Scholarship