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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




                                                      Page 1 of 4
                                           Faculty Professional Development
                                                       2008/2009
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.



                                                     Page 2 of 4
                                          Faculty Professional Development
                                                      2008/2009
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


                                                      Page 3 of 4
                                           Faculty Professional Development
                                                       2008/2009
Page 4 of 4
Faculty Professional Development
            2008/2009

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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 Page 1 of 4 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. Page 2 of 4 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 Page 3 of 4 Faculty Professional Development 2008/2009
  • 4. Page 4 of 4 Faculty Professional Development 2008/2009