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Northeastern Oklahoma A&M College
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Application for Dobson Faculty Salary Supplement
Name: Date:
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When and where study will be made:
2 Course(s) to be taken (include college of coursework, date/time of courses, & degree plan):
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3. Conference Seminar, non-credit, workshop & Institute - include any info (brochures, etc.) about
the event you are planning to attend for which you are requesting funds:
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4. Please itemize the estimated cost of your expenses. If the request is for a conference, seminar,
etc. list the cost of registration, lodging, travel, per diem, etc.
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5. Write a brief paragraph detailing how this study/event will benefit you and NEO A&M College:
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A copy of this application may be sent to the VP of Academic Aairs and Department Chair.
*Information about the Dobson Faculty Salary Supplement is available in the Faculty Handbook.
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Approved: Dept. Chair Date Approved: VP Academic Affairs Date
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Dobson Screening Committee Date
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