FACULTY DEVELOPMENT SUPPORT FUND PROPOSAL
Date: Click here to enter a date.
Name: Click here to enter text.
Rank: Click here to enter
text.
E-Mail: Click here to enter text. here to
Full Cost of Proposal: $$0.00
Of
fice Phone: Click here to enter text.
Department:
Click h
ere to
en
ter
text.
Amount Requested
from FDSF: $$0.00
Why are you requesting funds from the FDSF
?
Please explain in detail the nature of the request—include
a description of the conference
and travel, including the dates; a description of the training or workshop; or justification for
the certification, supplies, equipment, or software. (500 words max)
Faculty Development Support Fund Proposal
Center of Excellence for Teaching and Learning
Southern Utah University
Page 1 of 4
Choose one of the following:
Why is funding insufficient or
unavailable via other channels? (100 words max)
How
are you minimizing the expenses of this proposal? (100 words max)
How, using as much detail as possible, will the use of your requested funds make you a
better
teacher or a better professional? (250 words max)
Faculty Development Support Fund Proposal
Center of Excellence for Teaching and Learning
Southern Utah University
Page 2 of 4
Department chair’s comments, assessment, and endorsement (Chairs must use this space to
indicate their assessment of how the faculty member’s proposal will contribute to his/her
pedagogical excellence and overall professional development. Please openly, frankly, and
objectively share your support and/or reservations, thus aiding the FDSF committee to make a
fair and impartial decision regarding the proposal. The more specific, the better.):
Percentage:
Percent %
Matching funds from department: Click here to en
ter text.
Name of department chair/dean: Click here to enter text.
Faculty Development Support Fund Proposal
Center of Excellence for Teaching and Learning
Southern Utah University
Page 3 of 4
FACULTY DEVELOPMENT SUPPORT FUND BUDGET
Category Total
Request
Matching
Funds
Matching
Source
FDSF
Request
Supplies & Equipment
1.
2.
3.
4.
$
$
$
$
$
$
$
$
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
$
$
$
$
Airfare $ $ Click here to enter text. $
Travel Insurance $ $ Click here to enter text. $
Car Rental/Taxis/Shuttles
SUU Vehicle
Car Rental
Taxi Shuttle
$
$
$
$
$
$
$
$
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
$
$
$
$
Gas/Mileage
(Rate is $.41 per mile.)
$ $ Click here to enter text. $
Food
(Per diem rates are $9 for breakfast, $12 for
lunch, and $20 for dinner.)
Number of Days: #
$ $ Click here to enter text. $
Lodging
Number of Days: #
$ $ Click here to enter text. $
Conference Fee(s) $ $ Click here to enter text. $
Other:
Other:
Other:
Other:
$
$
$
$
$
$
$
$
Click here to enter text.
Click here to enter text.
Click here to enter text.
Click here to enter text.
$
$
$
$
TOTALS
$ $ Click here to enter text. $
Notes
The budget must be itemized in detail, including the cost of all items, purchases, and activities.
Add additional pages if necessary to provide a thorough itemization of requested expenses.
Demonstration of cost effectiveness will increase the proposal’s scoring potential.
Matching funds will also increase the proposal’s scoring potential (please indicate the source of all matching
funds, including a Banner Index code, if applicable).
Insurance to cover the cost of air travel is required to protect both the faculty member and the FDSF from risk
of loss in case of illness or some other unplanned event.
Faculty Development Support Fund Proposal
Center of Excellence for Teaching and Learning
Southern Utah University
Page 4 of 4