Fillable Orange County FSDC Coursework Proposal

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Orange County FSDC Coursework Proposal

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Orange County Community College
Faculty/Staff Development Committee
115 South Street
Middletown, New York 10940
FSDC
Application For
Coursework
1. If you are a full-time permanent, non-grant-funded, faculty, professional staff, or Civil
Service employee of Orange County Community College who works at one of our
campuses, you may apply to the FSDC for funding that supports and encourages your
professional development in the areas described in the Guidelines. The Committee
reviews each application; however, funding is not guaranteed.
When you apply, please:
2. Type/word process all applications
3.
Ask your department /area supervisor to complete/sign the department-approval and
funding-committee information (as required).
4.
Send one (1) original copy of your application with supporting documents and nine (9) collated
and stapled copies of the application form, for a total of 10 copies, to the Chair of the FSDC.
The Committee will not consider an application unless ten (10) collated and stapled copies
are submitted. Do this as far in advance as possible--and before the event. Applications
should be sent to the FSDC Chair who will distribute them to the committee members for
consideration at the next meeting.
5. Within thirty (30) days of successful completion, you are asked to send to the Chair of the
FSDC two copies of each of the following: 1) the Professional Development Report that
was sent to you at funding approval, 2) a completed expense report, 3) a photocopy of the
receipts on 8.5" X 11" papers, and 4) evidence of successful completion of a course or
Harriman purchase.
FSDC Application for Coursework: Revised May 2010
Page 1 of 4
The Faculty/Staff Development Committee
Professional Development General Guidlines
6. One cannot apply retroactively for reimbursement in the next academic year.
7. Current FSDC Chair: Dr. Stephen Meagher
English Department
Use the application forms available from the FSDC committee or the CTL web site.
Orange County Community College
Faculty/Staff Development Committee
115 South Street
Middletown, New York 10940
FSDC Guidelines for Coursework Proposal
Reimbursement: 100% up to $1,000
Coursework expenses do not include transportation, room and board, books or course materials.
Funding is for tuition and fees only.
The proposal consists of two forms that include:
1. A specific explanation of how the coursework will benefit the college and the applicant.
2. The total amount requested, along with documentation of the tuition, the course, and the fees.
Funding parameters:
1. The applicant must be a full-time, permanent, non-grant funded faculty or professional staff
employee on active payroll, who works at one of our campuses. Full-time Civil Service employees
should contact the Office of Human Resources for coursework reimbursement.
2. Any funding requests for coursework (taken at any institution including SUNY, non-SUNY, IBIG)
are to be submitted directly to the FSDC.
3. For credit courses, the FSDC may fund the total cost of tuition and fees (not to exceed $1,000 per
person per academic year). If monies exist at the end of the academic year, additional monies may
be granted.
Withdrawal procedure: If you decide not to take a course for which you have been funded,
kindly notify the Committee Chair immediately so the funds can be reallocated.
Use this sequence for reimbursement: Within 1 month of the conclusion of the course you
will be required to complete the FSDC Professional Development Report and submit it to the FSDC
FSDC Application for Coursework Revised May 2010
Page 2 of 4
FSDC
Application
For Coursework
chair with appropriate documents.
FSDC Coursework Proposal
Please Type/Word Process
Reimbursement: 100% up to $1,000 Application
Date: _____________
Applicant's name: _____________________________________________ Ext. # ____________
Dept/Area. ____________________________________________________________________
Are you Faculty, Staff, Civil Service, or grant funded? _____ Yes/No
Are you full time?
Part time
If grant funded, expiration date of grant: ______________________________________________
Course (Title & Number, if any): ____________________________________________________
Is this a graduate course? ________ Yes/No
Institution/organization:
Address:
Date(s) of coursework: _____________________________________________________________
Description of coursework:
How will this course benefit the college and you professionally?
Send to the FSDC Committee Chair:
1.
One (1) copy of printed coursework information, including fees.
2.
Ten (10) copies of this proposal (page 3).
3.
Ten (10) copies of the Expense Report (page 4) itemized and totaled.
Applicant's signature: __________________________________________________ (print and sign)
_____________________________________________________________________________
_____________________________________________________________________________
FSDC Application for Coursework Revised May 2010
Page 3 of 4
Applicant Name: _____________________ Ext. ___________ Date of Application: _____________
Dept / Area: _______________________________________ Date of coursework: _____________*
Estimated expenses are to be submitted with the application to the committee. Actual documentation
of expenses are to be submitted after the course in order to receive final payment.
Event Comments
Proposed or Estimated
Expenses
Final or Actual
Expenses
I. Coursework
A. Tuition
B. Fees
II. Other
Total expenses
Subtract amount paid by
other sources; specify
Dept., Area, Grant, Etc.
Total amount requested
*Please use separate application and expense report for each course.
FSDC Application for Coursework Revised May 2010
Page 4 of 4
FSDC Coursework Financial Report
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Orange County FSDC Coursework Proposal

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Completed 16 February 2020

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