CEHD Faculty Funding Request

• CEHD faculty are eligible to apply for up to $500 in college support funds for 2023-2024 travel and professional development.
• $500 in support funds can be used only on a one-time basis. These funds cannot be used for multiple travel authorizations nor applied to multiple trips or professional development opportunities.
• Travel must occur between July 1, 2023 – June 30, 2024.
• Professional development must occur between July 1, 2023 – June 30, 2024.
• Submission and approval of this form does not approve travel to occur. A travel authorization must still be completed and submitted by the traveler.
• Funding must be requested and approved prior to travel or professional development. Funds will not be approved for past travel or professional development activities.
• Presenting at virtual conferences is applicable for requesting support funds for associated costs (e.g. registration).

First Name *

Last Name *

Email *

Department Head Email *

A copy of this form will be sent to this email address.

Type of Event/Name of Conference/Professional Development *

Brief Description of Purpose of Event/Conference/Professional Development *

Departure Date *

Year Year20222023202420252026

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Return Date *

Year Year20222023202420252026

Month MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day Day12345678910111213141516171819202122232425262728293031

Course Coverage Plan *

Estimated Cost of Travel/Professional Development *

Other Funding

(ex: Faculty Research Travel Fund $800, Dept XYZ $200, Haenicke Institute $500)

Abstract Attachment

Upload

Files must be less than 2 MB.
Allowed file types: txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.

Additional Attachment

(letter of acceptance, additional abstract, etc.)
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png txt rtf pdf doc docx odt ppt pptx odp xls xlsx ods xml.

Upload

Leave this field blank

Submit