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Staff Professional Development Fund Request Cover Sheet

Please fill out this form and use it as a cover sheet for your proposal to use Learning Council SPD funds.

Today's Date 12/03/2008
First Name
Last Name
Email Address

Department


Activity or project name, location and date(s).


What learning is being sought and how will the request provide it (please address how you will measure impact on student learning and/or Valencia's "Learning-Centered" initiative)?


Itemized Budget Request

Registration Fees $
Lodging $
Transportation $
Meals $
Miscellaneous Expenses $

Have you applied for additional funding? Yes No

If yes, has it been awarded? Yes No

List other sources of funding and the amounts that you have requested from each:


Requests will be reviewed at Learning Council meetings in the order received.  Upon clicking the "Submit" button below, your request will be forwarded to Kim Adams, Academic Affairs. In addition, please send the accompanying proposal electronically to kimadams@valenciacc.edu

The printed copy of the cover sheet should include appropriate signatures.  The attached proposal should address the points detailed on the previous webpage, titled "SPD Funds Distributed by the College Learning Council."