Fillable University Hawaii Hilo PROFESSIONAL DEVELOPMENT FUND APPLICATION form

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University Hawaii Hilo PROFESSIONAL DEVELOPMENT FUND APPLICATION form

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Rev. 10/14
UNIVERSITY OF HAWAI‘I AT HILO
PROFESSIONAL DEVELOPMENT FUND APPLICATION
Applicant Name(s) __________________________ Department ___________________
Primary Contact Email __________________________ Phone _______________________
Name of Proposed Event ________________________________________________________
Please use additional space as necessary.
1. What categories best describe your project? Check all that apply:
____ Speaker ____ Training ____ Workshop
____ Technology ____ Audio Conference ____ Webinar
2. Provide a detailed summary of what you intend to do. Include when and where the event will take place.
3. What UH Hilo Strategic Plan goal does your proposed event address? Explain in detail how your event
addresses that goal.
4. Who is your target audience and what is your anticipated attendance? What do you expect participants to
gain from this event?
Print
Clear Form
Rev. 10/14
UNIVERSITY OF HAWAI‘I AT HILO
PROFESSIONAL DEVELOPMENT FUND APPLICATION
5. How will you measure participation and how will you know whether the expectations proposed in #4
above were met?
6. Explain in detail how you will advertise this event to your audience. Are members of your target
audience involved in the planning? Explain how or why not.
7. Utilizing one of the two samples provided, provide a budget summary detailing how you plan to use
your awarded funds. To avoid a delay in the processing of your application, be sure that all budget items
are directly related to the implementation of your event. Provide an explanation for items that may
appear indirectly related.
If you are proposing the purchase of food, please carefully read the section of the fund guidelines
relating to food purchases before submitting your proposal.
If you are requesting funding for travel, please carefully read the section of the fund guidelines relating
to awards that include travel before submitting your proposal.
____ Budget Summary is attached.
8. Explain alternative options for supporting this proposal if it is not fully funded by the Professional
Development Fund.
Rev. 10/14
UNIVERSITY OF HAWAI‘I AT HILO
PROFESSIONAL DEVELOPMENT FUND APPLICATION
Professional Development Fund Application Agreement
• A signature from the awardee’s direct supervisor is required.
• If the awardee’s direct supervisor does not have approving authority, a signature from a Division Chair,
Director, Dean, or Vice Chancellor from a unit willing to assume responsibility for fiscal administration
of the award is required.
• Awardee is responsible for finding a unit that will be responsible for the fiscal administration of the
award. Fiscal administration of the award includes identifying a support staff person trained in Kuali
who will be responsible for all fiscal processing. It is the responsibility of the awardee and identified
unit to work directly with the Business Office to ensure compliance with all University fiscal policies
and procedures.
• All grant activity must be completed by the end date indicated on this application and a final report must
be submitted within 30 days of the completion of the program or event. This report must include a copy
of all invoices and/or receipts.
• All funded proposals will be posted on the Chancellor’s Professional Development website and any
other internal media venues as deemed appropriate by the committee.
• By signing below, I acknowledge that the Chancellor’s Professional Development Committee shall in no
way be held liable for any claims, damages, causes of action, or suits resulting from any activities of the
awardee or its contractors. The awardee shall indemnify, defend, and save harmless the University of
Hawaii at Hilo, the Chancellor’s Professional Development Committee, and their officers, agents, and
employees from any liability, actions, claims, suits, damages, or costs arising out of or resulting from the
acts or omissions of the awardee, its officers, employees, agents, or sub-contractors occurring during, or
in connection with, activities that may be funded, in whole or in part, from Professional Development
funds provided to the awardee under this agreement.
____________________________________ __
_________________________________
Print Applicant Name & Department Signature Date
____________________________________
___________________________________
Print Direct Supervisor Name Signature Date
By signing below, I acknowledge that my unit has a Kuali-trained support staff person who will be assigned to
assist with processing of all fiscal related activity for this award.
____________________________________
___________________________________
Print Division Chair, Director, Dean, VC Signature Date
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Completed 6 February 2020

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