Fillable REQUEST FOR WSA PROFESSIONAL DEVELOPMENT FUNDS (Webster University)

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REQUEST FOR WSA PROFESSIONAL DEVELOPMENT FUNDS (Webster University)

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Rev 08/19
REQUEST FOR WSA PROFESSIONAL DEVELOPMENT FUNDS
Submit this completed form, written proposal, program brochure, and supporting expense
documentation (as outlined in the WSA Professional Development Funds Program Policy
) in
electronic form to wsa@webster.edu at least 30 days prior to event date.
Name:
CARS ID:
Position Title:________________________________
Hire Year:__________________________
Campus Location: ____________________________
Department:
Email:
Office Phone:
CONFERENCE TITLE:
CONFERENCE DATE(S):
CONFERENCE LOCATION:
COSTS:
Registration Fee
$
Airfare (Concur)
$
Accommodations
$
Meals (estimated)
$
Other
$
TOTAL REQUESTED
$
**
**$2000 award maximum
Both employee and supervisor verify with their signature that they have read and understand the
WSA Professional Development Funds Program Policy
as it pertains to requesting funding for the
above named event. Any expense beyond the approved, awarded amount will be paid by the
department through which the awardee is employed.
Date:
Employee Signature
Date:
Supervisor Signature
Date:
Department Head Signature
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REQUEST FOR WSA PROFESSIONAL DEVELOPMENT FUNDS (Webster University)

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Completed 1 September 2020

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