Fillable Professional Development Application2 Clinton Community College Foundation

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Professional Development Application2 Clinton Community College Foundation

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Clinton Community College Foundation
Application for Westfall Professional Development Funds
Name: _____________________________________
Department: _____________________________________
Title/Position: _____________________________________
Years at CCC: _______ Full-time or Part-time: ________
Instructions: Please be as specific as possible when describing why you should be
chosen to receive this funding. Your explanation and rationale will be th
e pri
mary
focus of the review board.
1. Briefly describe the professional development activity that you are applying
for. Describe how this will benefit the college, students, or yourself:
2.
Have you previously attended, performed, or requested this professional
development activity/project? YES
NO
3. If NO, have you previously requested funding and were denied? Explain:
4. Briefly describe any professional development activities you have
participated in this past year and describe any professional development
activities you anticipate attending this academic year:
5. Please attach a detailed budget outline. If known, please include an agenda,
registration fees, hotel, meals, transportation, and m
iscellaneous fees. If the
money is to be used for a research project, please describe.
If granted funding by the Clinton Community College Foundation, Inc. I agree to:
1) Provide a brief written summary of the professional development activity
2) Serve for one year on at least one
of the following Foundation Committees:
- CCC Golf Tournament
- Clearly Clinton Campaign
- Faculty/Staff Campaign
3)
Provide receipts for expenditures
________________________________ ______________________
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Professional Development Application2 Clinton Community College Foundation

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Completed 8 February 2020

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