Fillable TS PD Application Form Final7 (Jacksonville University)

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TS PD Application Form Final7 (Jacksonville University)

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ORSP: TS – Professional Development Application - V. 9/6/2018
2018-2019 Travel Support
Faculty Professional
Development
Instructions: Please be sure to read the Travel Support Professional Development Guidelines posted on the
ORSP webpage. Complete this fillable form and forward along with any required attachments to ORSP@JU.EDU
before 5:00 pm EST on the second Monday of the month. Travel Support requests must be submitted at least
four (4) weeks prior to the departure date. Award decisions are returned no later than the last day of the month the
request was submitted. However, any proposal received after a deadline listed below will not be considered until the
following month’s cycle.
2018 Deadlines: September 10 October 8 (Tuesday) November 13* December 10
*Monday, Nov 12 is Veterans’ Day
2019 Deadlines: January 14 February 11 March 11 April 8 May 13
I. Travel Support Request
Participation Purpose (check one): Attendee Presenter
First Request? or
Second Request?
II. Faculty Information
Name: Academic Rank:
Department: JU Email:
III. Travel Details
Conference
Title
Presentation
Title, if applicable
Destination
Dates of
Conference
Start Date
End
Date
Departure
Date
Return
Date
Amount of
Funding
Requested*
*Per-trip maximum for FIRST Requests:
$1,000 for attending $1,500 for presenting
Original receipts required for reimbursement.
JU Travel Policy/Procedures apply.
Click on the box below to add your electronic signature.
Dean:
Required Attachments: Attendee applicants should submit: 1) this completed form, 2) a written statement
indicating why they want to attend and what they hope to gain/learn from the event (1-page max), and 3)
the conference agenda or program (PDF or screenshots, etc. are ideal, but please no links). Presenter
applicants should submit: 1) this completed form and 2) their presentation abstract. For
reimbursement, all awardees must submit original receipts, a copy of the conference program, and, if
they presented, evidence of acceptance via letter/email. Be sure to read the Application Instructions posted
on the ORSP website for more detail. Any questions, give us a call at 256-7021.
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TS PD Application Form Final7 (Jacksonville University)

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Completed 21 July 2020

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