CUESTA COLLEGE
FACULTY PROFESSIONAL DEVELOPMENT FUNDING REQUEST FORM
Return form to the Faculty Professional Development Committee during the application period. We are only able to fund
requests for activities during the current fiscal year. Applications MUST include a completed and signed conference
request form with all necessary signatures and only completed applications will be considered for requests to attend or
present at a conference.
!
NAME: __________________________________________
Division: ______________________________ Extension: _______________
Date and Time of Activity: __________________________________________________________
Signature: ___________________________________ Date Submitted: __________________
" Please check which box applies to your funding request and submit the listed paperwork
with this professional development funding request form.
r Attending a conference:
Ø Attach a completed and signed conference request form. Your request form should include all
anticipated expenses even if above the amount offered by the Professional Development Committee.
r Presenting at a conference:
Ø Attach a completed and signed conference request form. Your request form should include all
anticipated expenses even if above the amount offered by the Professional Development Committee.
Ø Provide written confirmation of your involvement in the presentation, including documentation that you
are representing Cuesta College in your presentation.
r Taking a class (If class credit is being used for a salary increase, Staff Development funds may not be used.)
Ø Attach a claim form outlining class costs.
Ø Immediate Supervisor’s Signature: ______________________________________________
Ø Describe why you are taking this class ___________________________________________
__________________________________________________________________________
% Please describe how you plan to share what you have learned with Cuesta employees at the
off-site professional development opportunity you attended using professional development
funding.
___________________________________________________________________________________
___________________________________________________________________________________
__________________________________________________________________________
& Amount of Funds Requesting:
Professional Development Funds: (max $500) _____________
Additional Funds you are seeking:
(Specify Funding Source / Account String)
Professional Development Approval ________________________
Date _______________ FPD Tracking #: ____________
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
