CUESTA COLLEGE
MANAGEMENT PROFESSIONAL DEVELOPMENT FUNDING REQUEST FORM
1/
3/2017 1
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 $400, 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 $400) _________
Other Funding Sources:
Department Conference Funds ___________
President’s Motivational Fund ___________
Other Funds Available ___________
MPDC Action: ___ Approved Amount Approved: _____________
___Denied
Signed: Date: