UC BERKELEY
MECHANICAL – INDUSTRIAL – NUCLEAR
ENGINEERING
PROFESSIONAL DEVELOPMENT SUPPORT REQUEST
Name:
Today's date:
Unit:
Current job title:
Circle One:
1.
2.
3.
Academic opportunity: seminar, course, training, degree, etc.
Professional membership
Other:
Indicate name of the course/seminar/membership and attach description of course subject matter,
registration form, and all associated travel costs:
Inclusive
date(s) of
activity
Cost of all expenses: Course/seminar/membership
registration and associated travel
Sub-Total
Registration:
Mileage:
Parking:
Transportation:
Hotel:
Meals (if meals are included in any program, cost of
meals is not reimbursable):
TOTAL COST OF PROFESSIONAL DEVELOPMENT REQUEST (INCLUDING
COURSE COSTS & TRAVEL):
Explain why this professional development request is related to the employee’s present position or career
plans:
Employee Signature
& Date
Unit Manager Signature
& Date
Administration Manager
Signature & Date
***Finance Asst: A copy of this form must be attached to all travel advance/expense forms and/or check
request forms.
Form revised 1/11/13