Name: Department: Position: Rank: Email address: Indicate the program for which you are applying: This year (July 1, 2017 June 30, 2018), which College grant(s) have you received? – Activity START date: END date: If traveling, your destination: Total cost of activity, copied from Cost” field of Budget (see p. 5): $ “Total Your contribution towards the cost: $ personal Will additional funds, besides those provided by you, the department chair, or the dean, be put toward the cost of this activity? If so, indicate the amount and the source of the funds: Other contribution: $ Source : Departmental contribution: $ To be completed by the Department Chair: College award: $ Unfunded: $ To be completed by the Dean: Optional Comments by Department Chair: Optional Comments by Dean: Description of Faculty Development Activity On this page (only), (a) describe the activity, (b) explain its significance for the university (and/or the college and/or your department), and (c) explain its significance for your professional development.
Name: Department: Position: Rank: Email address: Indicate the program for which you are applying: This year (July 1, 2017 – June 30, 2018), which College grant(s) have you received? Activity START date: END date: If traveling, your destination: Total cost of activity, copied from “Total Cost” field of Budget (see p. 5): $ Your personal contribution towards the cost: $ Will additional funds, besides those provided by you, the department chair, or the dean, be put toward the cost of this activity? If so, indicate the amount and the source of the funds: Other contribution: $ Source : To be completed by the Department Chair: Departmental contribution: $ To be completed by the Dean: College award: $ Unfunded: $ Optional Comments by Department Chair: Optional Comments by Dean: Description of Faculty Development Activity On this page (only), (a) describe the activity, (b) explain its significance for the university (and/or the college and/or your department), and (c) explain its significance for your professional development.
ecas-development-subvention-application-2017-18-9-27-17.docx