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…………………….