Project Number Date Received
PENSACOLA STATE COLLEGE
STAFF AND PROGRAM DEVELOPMENT
APPLICATION
Name Title Date
Department SPD Funding Source
Purpose of Request
Location
School/Agency City State
Starting Date Time a.m./p.m. Ending Date Time a.m./pm.
Value to Pensacola State College
Objective(s) Related to: Pensacola State College Goal Number(s) SPD Goal Number(s)
Names of Person(s) Involved in This Project
ESTIMATED COSTS
1. Airfare: $ 3. Tuition: $
Mileage $ 4. Registration:
Rental Car $ Purchase Order Personal Funds $
Parking $ 5. Materials/Printing $
Limo/Taxi $ 6. Equipment $
Total Travel $ 7. Honorarium $
8. Salary/Benefits $
2. Hotel $ 9. Other (Specify) $
Food $
Total Per Diem $ * Total Project
Amount of funds from other budget Cost Center
Date ** PDP on File? Yes No
Applicant
Date Approved Disapproved
Department Head
Date Approved Disapproved
Dean
Date Approved Disapproved
V.P. or Provost
Date Processed
SPD Director
Date Approved Disapproved
President or Designee (when applicable)
* Official approval of project is indicated upon receipt of an SPD project approval notice and a signed travel authorization form (when applicable).
** Professional Development Plan (For all employees).
Pensacola State College Form 42-72 (Revised October 21, 2010)
