Las Positas College
Professional
Development
Activity Proposal Form
Fill out this form completely and submit it along with all supporting documents to
the Professional Development Coordinator or their Administrative Assistant by the
first Monday of each month by 5:00 p.m. Incomplete forms will be returned.
Full-Time Check One
1. Proposer Name:
Faculty Classified Administrative
Part-Time*
Proposer Name: Faculty Classified
# of yrs. at LPC: Current workload: %
Location:
2. Activity Title:
3. Sponsoring Organization:
4. Work Group
to
Benefit:
5. Proposed Date(s):
6. Total Cost
of
the
Proposed Activity: $
**To view the current level of available institutional funding please check the PDC website here.
Please note that you may not apply for both PDC funds and other grant/initiative funding
simultaneously.
7.
Signature
of
Dean or Immediate Supervisor:
*(signature verifies that part-time staff applying for Professional Development funding meets the minimum requirements
of both a 40% workload and 2 consecutive years with LPC.)
Box
area
for
Professional
Development
Committee
only.
Please
do not write in this
space.
ACT. REQ. #:
PROF DEVELOPMENT PROJECT #:
Date:
Out of State:
YES NO
Amount of Funding Approved by Prof Development Committee: $
Committee Chair:
YES NO
Amendments or Reason for Disapproval:
