PROFESSIONAL DEVELOPMENT REQUEST FORM

PROFESSIONAL DEVELOPMENT REQUEST FORM
User Instructions: Please complete this form to request approval for professional development activities. Please attach a description of the training/professional development to request form and forward it to your Manager and Human Resources for approval. When the form is complete, and all signatures have been obtained, Human Resources will return a copy of your approved form to you. Incomplete forms will not be accepted and will be returned for completion.
SECTION A: EMPLOYEE INFORMATION
Name*

First NameLast Name
Date*

MonthDayYear
Date
Department*
Job Title*
Who is your manager?*
Location*
SECTION B: PROFESSIONAL DEVELOPMENT PLAN DETAILS
Name of Training/workshop/conference*
Location*
Dates of Attendance*

MonthDayYear
Start Date
Dates of Attendance

MonthDayYear
End Date
Cost of Activity
How does this training/development relate to your primary assignment or role at Stardust?*
SECTION C: APPROVAL

Approved:Denied:
If denied, provide explanation
Employee Signature*

Clear
Date*

MonthDayYear
Date
Manager’s Signature

Clear
Date

MonthDayYear
Date
CEO/COO Signature

Clear
Date

MonthDayYear
Date
Should be Empty: