This document is an application for professional development funds from Colorado Mountain College for the 2010-2011 fiscal year. It requests information such as the applicant's name, address, department, and details of the proposed professional development activity or event. If approved, funds of up to $1,500 can be provided for activities such as travel, lodging, meals, registration fees, materials, and other expenses. The application must be signed by the applicant and campus representatives and include a budget summary and answers to questions about how the activity aligns with CMC's mission and the importance and benefits of the activity. It should be scanned and emailed to a specified recipient by the deadline according to the program guidelines.
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Fpdc app1011
1. 2010 – 2011 Fiscal Year
COLORADO MOUNTAIN COLLEGE
APPLICATION FOR PROFESSIONAL DEVELOPMENT FUNDS
I. This application must be completed for consideration for Professional Development
Funds. Prior to completing this application, review the guidelines for specific
requirements for the program to which you are applying. A separate application must be
submitted for each funding request (not in excess of $1500). Be advised that an
incomplete Application or an Application with an incomplete or missing Budget Summary
will not be considered. Applications are being taken for events held in the United States.
1. Applicant
Co-applicant (if applicable)
2. Campus Address
3. Home Address
4. CMC E-mail
Phone: Work Home
5. Division/Department
6. Title/Rank of Applicant(s)
7. Proposed project/activity title. (List name of seminar, conference, workshop, or coursework).
8. Date of project/activity from to
Month/ Day/ Year Month/ Day/ Year
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Faculty Professional Development
2008/2009
2. CMC Application for Professional Development Funds
Budget Summary
II. Prior to completing this form, review the guidelines for the funds to which you are applying.
Complete only those sections that are applicable and specify the type of expenditure for each item. A
separate budget summary must be completed for each cycle which funding is being requested. All
expenditures must be itemized and justified. Be advised that an Application with an incomplete or
missing Budget Summary will not be considered.
Applicant’s Name Campus
Date of Project/activity from to
Month/Day/Year
Month/Day/Year
Amount
Expenditures
1. Travel and related expenses
a. Lodging @ $ /day x day(s)
b. Meals @ $ /day X day(s)
c. Transportation
Specify
d. Other
Specify
2. Non-consumable supplies/materials/books
Specify
3. Consumable supplies (e.g. paper, pens, postage, film)
Specify
4. Registration fees for conference, seminar, internship, or workshop
Specify
5. Other
Specify
TOTAL
Attach any and all documentation that supports your proposal, including registration information, travel
expenses and other costs. Failure to do so will result in denial of your application. Include additional
pages if necessary.
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Faculty Professional Development
2008/2009
3. III. Using additional pages, answer each of the questions separately:
1. How will this activity align with the CMC mission and vision?
2. If you are attending a conference, indicate whether you are a presenter or participant. If
presenting, please enclose a copy of your presentation abstract.
3. Explain the importance of the activity to your profession for which you are requesting funds.
4. Identify the objectives and potential benefits of the proposed activity.
5. Identify who is likely to benefit from your proposed activity. (students, others in the discipline,
yourself, etc.)
6. What needs are being met by the proposed activity? (retraining, keeping current, etc.)
7. When, how and to what audiences do you plan to present your findings?
IV. I have read the program guidelines and understand that only documented expenditures pursuant to
the procedures described in those guidelines and approved by the Professional Development Funds
Committee will be reimbursed.
Applicant’s Signature Date
FPDC Member Campus Representative Date
The attached application has been reviewed and is approved:
Campus CEO Date
FPDC Chair (Central Services) Date
V. Total No. of Pages in this Application:
VI. Send SCANNED application and SCANNED attachments by the date specified in the
committee/program guidelines to:
Junella Montoya
Colorado Mountain College
831 Grand Avenue
Glenwood Springs, CO 81601
jmontoya@coloradomtn.edu
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Faculty Professional Development
2008/2009
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Faculty Professional Development
2008/2009