Revised: 5/1/2019
1
CUESTA COLLEGE
MANAGEMENT PROFESSIONAL DEVELOPMENT FUNDING REQUEST FORM
Management Professional Development Committee (MPDC) has funding available to assist managers,
supervisors, and confidentials to attend professional development opportunities, i.e.
conferences/workshops/trainings during the fiscal year. Individual requests can be made up to $750,
dependent on availability of funds. Funds will be awarded on a first come, first serve basis.
Complete the form below and submit to the MPDC Chair by the 3
rd
Thursday of every month. Requestors will
be notified of available funds within 10 days.
Date Submitted:
Extension:
Date/Location:
Date:
1. Name:
Department:
Title of Activity:
Supervisor’s Approval:
2. Please check the box that applies to your funding request
___ Attending a conference*
___ Attending a Workshop
___ Taking a professional development class
___ Presenting at a Conference*
___ Coordinating a Group Activity (provide detailed explanation below: Describe activity, purpose and
expected outcomes)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________
*A conference request form needs to be completed and submitted with this request
3. Total cost of the Activity including travel/lodging: ___________
Amount of Funds Requested: MPDC Funds (Not to exceed $750)
_________ Other Funding Sources:
Department Conference Funds ___________
President’s Motivational Fund ___________
Other Funds Available ___________
MPDC Action: ___ Approved Amount Approved: _____________
___Denied
Signed: Date:
CUESTA COLLEGE
MANAGEMENT PROFESSIONAL DEVELOPMENT FUNDING REQUEST FORM
Revised: 5/1/2019
2
Please answer the following questions:
Have you attended this workshop/conference before?____ yes ___ no
If yes, when? __________ Purpose of attending again?
How do you plan to share what you learned at the conference with your department?
How do you plan to share the information you learned with your colleagues?
This professional opportunity will support the goals and objectives of one or more of the following
institutional goals and/or integrated plans:
___ Department IPPR ___ Technology Plan
___ Enrollment Management Plan ___ Education Master Plan
___ Strategic Plan ___ Other ____________________________