CVPA Academic Affairs MS 3E6
Performing Arts Building A407
(703) 993-4551
CVPA Faculty/Staff Request for Funding
Name:
Department:
Job Title/Position:
Phone:
Date:
Length of Employment for CVPA:
Email:
Total Amount of Request:
*Please attach supporting documents
and Letters of Recommendation
Will you accept Partial Funding?:
 YES
 NO
Partial funding: Do you have or will you request funds from other sources -- another Department or Grant ?
 YES
 NO
If yes, other funding source:
Funding Category:









Conference Level “A”
Conference Level “B”
Scholarly/Creative Research
Other Travel*
Other (please explain)
Out-of-State recruitment
In-State recruitment
Publication Materials
Professional Development
Notes: Conference Level “A” applies when you are presenting work, giving a keynote, serving as an officer of the organization, or some
similar level of high engagement. Level “B” applies to general conference attendance and participation. All requests containing travel
funding require a travel authorization form, available at http://fiscal.gmu.edu/forms.
Proposed dates:
Description and Rationale for Funding:
Detailed Explanation of Costs:
Anticipated outcomes and benefits:
If funded, Report Due Date:
Chair/Program Director Signature:
Date Submitted:
Departmental/Program Approval is required before submission to the Dean’s Office
**Dean’s Office Use Only**
Total Amount Approved:
Date Notified:
Review Committee:
Date Reviewed:
CVPA Form 9/2006
CVPA Academic Affairs MS 3E6
Performing Arts Building A407
(703) 993-4551
CVPA Faculty/Staff Professional Development Support
Final Report Cover Sheet
Name:
Position Title:
Department:
Amount of Funding:
Phone:
Email:
Funded Activity:
Date(s) of Activity:
Signature:
Date Submitted:
DIRECTIONS:
Faculty and staff who receive College support for professional development, conference travel,
research/creative activity, etc., are required to submit a final report to the CVPA Associate
Dean of Academic Affairs. Please complete the form at the top of this page, attach this page to
a one to three page report prepared as directed below, and submit to the Funding Review
Committee c/o Associate Dean of Academic Affairs by the appropriate due date. Reports may
also be submitted electronically to cvpafs@gmu.edu.
DUE DATE:
The report is due one month after the completion of travel, activity, or project unless otherwise
noted on the approved funding request.
REPORT
TEMPLATE:
This template is intended as a guide for the reporter, not (with a couple of obvious exceptions)
as a strict form to be filled out. We encourage you in your response to provide both specific
details and reflective comments under the following five headings:
I.
II.
III.
IV.
V.
Briefly describe the nature of the activity/event/conference/project.
Describe your role in the proceedings.
Discuss the value of the event to you and your professional development.
Discuss the value of the event to your department/program, CVPA, and Mason.
Share any summary thoughts or recommendations for the benefit of the whole.
Thank you for your time and attention in compiling this report, and congratulations on your successful completion
of this project.
CVPA Form 9/2006