Professional Development Request Form

1
Are you a full-time staff member?
YESNO
2
Did you apply for funding through the HR Development Funding Program?
YESNO
3
If you have NOT applied for funding through the HR Professional Development Funding Program then you need to do so before requesting Athletic Department funding. The link to request funds through HR is https://madisoncollege365.sharepoint.com/sites/MCHRPD/SitePages/Professional-Development-Funding-Program.aspx

After requesting the funding through HR Professional Development Funding please come back and fill out this form.

Thank you.
4
Name* This field is required.
First Name
Last Name
5
Email Address* This field is required.
example@example.com
6
Cell Phone Number* This field is required.
7
Name of Professional Development event you want to attend* This field is required.
8
Why do you want to attend the event? What benefit will the event provide to you and the department?* This field is required.
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Large
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Ok
Ok
9
Event Start Date* This field is required.
Date
Month
Day
Year
10
Event End Date* This field is required.
Date
Month
Day
Year
11
Do you have Transportation Costs?
YESNO
12
Description of Transportation Costs* This field is required.ex. Rental Car, Airplane, Subway fare
13
Total Transportation Cost* This field is required.
14
Do you have Hotel costs?
YESNO
15
Description of Hotel Costs* This field is required.ex. Indicate what hotel you are staying at and for how much per night - Staying at X Hotel for $X per night
16
Total Hotel Cost* This field is required.
17
Do you have Meal costs?
YESNO
18
Description of Meal Costs* This field is required.To figure meal costs use per-diem rates... https://www.gsa.gov/travel/plan-book/per-diem-rates
19
Total Meal Cost* This field is required.
20
Do you have Registration Fees?
YESNO
21
Description of Registration Fee* This field is required.
22
Total Registration Fee Cost* This field is required.
23
Do you have Other Costs?
YESNO
24
Description of Other Costs* This field is required.
25
Total Other Cost* This field is required.
26
Total Cost of the Professional Development Proposal* This field is required.
27
Additional Monies Requested above the $1250 offered by HR* This field is required.
28
Description of Additional Costs* This field is required.
29
Additional Comments* This field is required.
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Small
Ok
Ok
30
Please verify that you are human* This field is required.
Should be Empty: