STAFF REQUEST FOR AWARD OF PROFESSIONAL DEVELOPMENT FUNDS
MAXIMUM $500 FOR FISCAL YEAR
For 2016 (FY16) activities between 1/1/16 and 6/30/16, please submit prior to the
activity, but no later than 3/1/16
For 2016 (FY17) activities between 7/1/16 and 12/31/16, please submit prior to the
activity, but no later than 9/1/16
For 2017 (FY17) activities between 1/1/17 and 6/30/17, please submit prior to the
activity, but no later than 3/1/17
Please submit this form to your supervisor who will email this form to Jenny Prey
along with his or her approval.
FROM:
DATE:
ACTIVITY:
_____ Conference (presenting)
_____ Conference (attending)
_____ Special Training
_____ Other
NAME OF EVENT / SPONSORING ORGANIZATION:
LOCATION:
DATES:
YOUR SPECIFIC ROLE(S) / TITLE OF PRESENTATION:
HOW ACTIVITY RELATES TO YOUR PROFESSIONAL DEVELOPMENT AND SNL: (use
separate sheet if necessary)
PROJECTED EXPENSES:
Transportation
(ground) _________
(Read the following if you intend to rent a car:
https://policies.depaul.edu/login.aspx?ReturnUrl=/policy/policy.aspx?pid=109
https://offices.depaul.edu/environmental-health-and-safety/safety-training/drivertraining/Pages/default.aspx )
Transportation
Lodging
(air)_________
($____ per night for ___ nights) _________
Food (see Note * below) ($____ per day for ____ days)_________
Registration Fee
_________
Other Expenses
_________
Total
__________
* Note re Food: Food reimbursement is capped at $75 per day. There is no
reimbursement for alcoholic beverages or for food other than your own.
If your request is approved, you are required to submit for reimbursement within 60
days of incurring the expenses but no later than the end of the fiscal year.
Dean’s Recommendation for Award up to:
Comments:
Dean’s Authorization:
$__________