Professional Development Form

Please complete all required fields. Funding is subject to availability.

Faculty/Staff Name(Required)

Professional Development Dates(Required)

Professional Development Destination(Required)

Description of Professional Development Activity(Required)

Desired Goals of Activity(Required)

Explain how you plan to use and share the information that you learn from this activity(Required)

How will this activity positively impact SAU?(Required)

Link to conference/event website(Required)

Will students be participating?(Required)

Yes

Will you be presenting?(Required)

Yes

Will students be presenting?(Required)

Yes

What are the topics of the presentation(s)?

List your most recent professional development experience that was funded by SAU/SAU Foundation(Required)

How does this activity differ from previous activities funded by SAU/SAUF?(Required)

Travel Budget – Expenses

Transportation via

Transportation Cost

Lodging – Rooms

Lodging – Nights

Lodging – Rate per Night

Lodging Total

Registration – People

Registration – Fee per Person

Registration Total

Food – People

Food – Days

Food – Rate per Person per Day

Food Total

Additional Funding Support

Other – Description of funding needed 1

Other – Amount 1

Other – Description of funding needed 2

Other – Amount 2

Other – Description of funding needed 3

Other – Amount 3

Total estimated cost

Additional Funding Support

Department (Additional Support)

Additional Funding – Total

Balance Remaining

Funding Request(Required)

Approvals & Accounting

Faculty/Staff signature(Required)

Date (Faculty/Staff)(Required)

Dean signature(Required)

Date (Dean)(Required)

Account number for transfer of funds(Required)