Professional Development Presenter Grant

Application and Information

Includes:

(1) Professional Development Presenter Grant Application

(Form 6312/001)

(2) Presenter Grant Proposal Evaluation Form

(Form 6312/002)

(3) Guidelines for Using Contracts for

Professional, Personal, Consulting or Social Services (Form 3311/001)

Connected with Professional Development Presenter Grants

Professional Development Presenter Grant Application

Brief abstract of proposal:

Amount Requested: $

Faculty/staff member requesting presenter:

Division/Dept:

Campus/Unit:            Phone:

Office location:

Topic of presentation:

Presenter’s name:

address:

phone:              e-mail:

Brief summary of presenter’s credentials that pertain to this presentation:

Needs/ Impact Statement:

Form 6312/001 (6/12) (page 1 of 2)

Objective of presentation:

Proposed date of presentation*:

Proposed location of presentation*:

*Note: The applicant may give a range of dates and a general idea of the location if necessary.

However, it is the applicant’s responsibility to finalize the date and reserve a location through the appropriate office as soon as possible and to inform the Office of the Vice Chancellor for Academic Affairs and the Chair of the Professional Development Committee of the finalized date and location.

Arrangements for presentation:

(Identify parties responsible for each part of the arrangements and describe how the arrangements will be handled.)

Plans for evaluating the presentation and reporting the results:

_________________________  ______  ____________________________  ______

Signature of Applicant    date    Signature of Department Head/  date

             Supervisor

_______________________________________________________  ________

Signature of Division Dean (as applicable)          date

________________________________________________________  ________

Signature of Vice Chancellor              date

(as appropriate)  

Form 6312/001 (6/12) (page 2 of 2)

Presenter Grant Proposal Evaluation Form

Proposal Title:

Applicant’s Name:

Other comments:

Evaluator’s Name:

Evaluator’s Signature: __________________________________________  Date: ________________

Form 6312/002 (6/12)

Guidelines for Using

Contracts for Professional, Personal, Consulting or Social Services   (Form 3311/001)

Connected with Professional Development Presenter Grants

(Form 3311/001) is approved by the Vice Chancellor for Academic Affairs. The Office of the Vice Chancellor for Academic Affairs mails an award letter with the presenter’s contract to the applicant, with copies to the department head/supervisor, division dean, executive dean (as applicable), vice chancellor (as appropriate) and the Chair of the Professional Development Committee. It is the applicant’s responsibility to secure the signature of the presenter on the contract. Generally, presenter contracts are awarded as a one-time payment for the total cost of the presentation. Therefore, the contractor should consider all expenses (such as travel and miscellaneous expenses) before agreeing to the amount of the contract.

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