Fill - Free fillable Form 1.: Northeastern Oklahoma A&M College Application for (Northeastern Oklahoma A&M College) PDF form

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Northeastern Oklahoma A&M College

Application for Dobson Faculty Salary Supplement

Name: Date:

When and where study will be made:

2 Course(s) to be taken (include college of coursework, date/time of courses, & degree plan):

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:

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.

5. Write a brief paragraph detailing how this study/event will beneﬁt you and NEO A&M College:

A copy of this application may be sent to the VP of Academic Aﬀairs and Department Chair.

*Information about the Dobson Faculty Salary Supplement is available in the Faculty Handbook.

Approved: Dept. Chair Date Approved: VP Academic Affairs Date

Dobson Screening Committee Date

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Form 1.: Northeastern Oklahoma A&M College Application for (Northeastern Oklahoma A&M College)

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