Application Form

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Returning Parent Career Development Fund - Application Form
Applicant’s personal details:
Name:
Department/School:
Job title:
Conference /event title and reason for attending: (please detail the event you are attending and why it is
important you do so i.e. how it will benefit your career development?)
Date of conference / event: ………………………………………………………………
Explanation and justification: (please explain why the funding is required – how is attendance above and
beyond your normal working hours?)
Are other sources of funding (e.g. grant funding) available? Yes ☐No☐
Cost breakdown: (please provide details of the costs that you are claiming for – including hourly/daily rate of
childcare provision, the number of hours/days claimed and the total amount claimed below).
Total amount of funding requested (up to a maximum of £150): …………………………….
I confirm these details are correct and I have not been awarded funds under the scheme before ☐
Signed……………………………………………………………………………………dated…………………………
Head of Department/School support:
I do/do not (please circle) support this request. Signed…………………………………Dated…………………...
If you do not support the request, why not?
Executive Dean approval:
This request is approved/rejected (please circle) signed…………………...............Dated…………………….
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