U
pdated 11/12/2020 RS
WCC FLEX/PD Travel Fund
1
Yuba Community College District - Woodland Community College
Application for WCC Professional Development Travel Funds
CCC
Name:
Email address:
Location: WCC
Department:
Approving Supervisor:
Type of Event/Activity
College Course (Weekend Class)
Conference (2-3 days/nights, travel)
Workshop/Professional Meeting
Other __________________
Employee Status:
Part-Time Faculty
Full-Time Classified
Permanent Part-Time Classified
Event/Activity Info:
Name:
Date(s):
Location:
Other At tendees :___________________________
1) Did you receive FLEX/PD travel funding last year? Yes
Amount received: $
2) Describe how you will use this activity to upgrade, enhance, or improve your assignment and/ or
benefit the campus community. Provide evidence (brochures, catalog descriptions, website links,
etc.) for the activity you wish to fund.
3) The Flex PD Committee wants
funds to have the greatest impact by encouraging participants to
share what they’ve learned. Are you willing to lead a Flex/Professional Development workshop or
conduct a presentation in your department, based on what you have learned from the activity?
Yes
No
If your answer isYes”, a member of the Flex/Professional Development Committee will contact
you regarding possible dates and times for the workshop activity.
If your answer is “No”, please explain why not?
Lake
Description
No
Updated 11/12/2020
WCC FLEX/PD Travel Fund
2
Yuba Community College District - Woodland Community College
Application for WCC Professional Development Travel Funds
Event/Activity Costs
Registration Fees =
Other event/activity fees =
Transportation Costs:
Personal Car Roundtrip Miles @ 57.5 cents/mile =
Bus, Plane, Train, etc. =
Auto Rental =
Parking/Tolls =
Local transportation (i.e. Lyft, Uber etc.) =
Meal Costs:
Breakfast X $10.00 =
Lunch X $15.00 =
Dinner X $30.00 =
Lodging Costs:
Number of Nights X $ Per Night =
Hotel fees (internet, parking overnight, resort fee etc.) =
Other Expenses (Itemized below):
__________________________________________________________________ =
__________________________________________________________________ =
TOTAL:
NOTE: If the staff member incurs costs prior to approval and the application is not approved, then the
costs become the responsibility of the staff member. No actual receipts are necessary at this point, but in
order to receive your re-imbursement you will need to provide documentation for all costs incurred.
NOTE: Applicant is responsible for submitting all YCCD travel forms, obtaining release time and supervisor
approval, and remitting copies of travel receipts to the co-chair of this committee upon return.
Flex/PD Committee Chair’s Signature:
Date:
FLEX/PD Committee
Tri-Chair Signature:
Date:
For Office use only.
Amt. Awarded: $ Date Awarded: Initials:
_Signed _Receipts Recap Copy/Scan for Committee files
Sent to Fiscal Services (Initial & date when each action is complete)
RECOMMENDED AWARD: $
APPROVED: Yes No
$ 0.00
click to sign
signature
click to edit
click to sign
signature
click to edit