Professional Development Funds

Request Form

Name (print):

Department:	Date:

Amount requested:	Target Completion Date:

Please include a paragraph about how you would like to use the Professional Development funds and how it would benefit both you and the College:

*For a list of possible uses for Professional Development funds, please see the Donnelly website under Faculty and Staff > Resources > Professional Dev. > Participating in Professional Development

Requestor (signature):	______________________________________________	Date:	_______________

Department Chairperson (signature): ___________________________________	Date:	_______________

Office of Academic & Student Affairs (signature): ________________________	Date:	_______________