EmailMeForm
CONFERENCE AND TRAVEL FUNDING REQUEST
Conference and Travel Committee
GENERAL INFORMATION:
-All requests must be submitted a minimum of
six weeks
prior to the event.
-Funding is not approved for tuition for classes or relaxation retreats.
-Due to limited funding, applicants may bear some of the costs of the conference and travel.
-Faculty applicants should
first
use their allocated departmental funds.
-The funding maximum, per person, for the fiscal year
(2024-2025), is $800
. CTE programs and services are eligible for up to $2,000.
-Your Dean/Director/Manager/Supervisor will receive a copy of this request
Applicant Name:
*
First
Last
Applicant's Email
*
Dean/Director/Manager/Supervisor Name:
*
First
Last
Dean/Director/Manager/Supervisor Email
*
This person will receive a copy of your request
Employee Classification
Full Time/Contract Faculty
Part Time/Adjunct Faculty
Classified Professional
Supervisor/Manager/Professional Administrator
Discipline or Department or Program:
*
This is a CTE Program
Date of Conference:
*
MM
/
DD
/
YYYY
Conference Title:
*
Conference & Travel Location:
*
Total Cost of Conference
*
$
Dollars
(Box 38E on pre-travel form)
Funds Received
*
$
Dollars
Funds received from all other sources (Box 49H on pre-travel form)
Funds Requested:
*
$
Dollars
Conference Website:
*
Funding Priorities:
This activity meets the following funding priorities for Conference and Travel funds. Since funding is limited, this activity must support Mesa College’s goals and priorities. Please check ALL that apply.
*
responds to overall college priorities and goals.
occurs on campus or locally.
benefits groups of faculty and/or staff members.
provides information that will be shared with others.
will be used to train other faculty, staff, administrators or students.
will result in curriculum or program development.
provides systematic, systemic improvement that may be sustained overtime.
This is Mesa Pathways related
If applicable, how does this conference/event support your work for Mesa Pathways?
Briefly describe the purpose(s) of the conference and travel:
*
Describe how this conference and travel will meet the funding/priorities you have selected:
*
My Department
*
is supporting this request with funding
is not providing this request with funding.
Department Funds Received
*
$
Dollars
Why is your department not providing any funding for this request?
*
You MUST attach the
Travel Pre-Auth Form
You MAY include any other supporting travel documents.
It is highly recommended to make one PDF document to upload.
For more information, please access the following resources:
My SDCCD
Travel Pre-Auth Form
*
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