classified staff advisory council

 

 

Grant Application

Name:

Unit/Department:

Phone: email:

Month/Year UW Oshkosh employment began

Event Budget
$

Event registration fee
$

Estimated roundtrip mileage ($.22/mile for more than 50 miles roundtrip; $.325/mile for 50 miles or less)
Show Calculation:

$

Other transportation expenses
Specify:

$

Estimated lodging ($62/night in WI, excluding tax; $72/night in a few WI counties and out-of-state, excluding tax)
Show date(s), location, rate:

$

Estimated meals (B$8, L$9, D$17 in WI; B$10, L$10, D$20 out-of-state)
Show date(s), meals and amounts:

$

Other anticipated expenses
Specify:

$ Total Event Budget
$ Amount of grant being requested (maximum $100)
$ Amount of unit/department match

1. What are your objectives in applying to participate in this event?

2. How will the information obtained at this event benefit you and your unit/dept.?

3. Other noncredit conferences, seminars or workshops:
a. What events have you attended during the past two years?

b. Who paid for your participation in these events?



You must seek your supervisor's approval to submit this request and obtain "matching" funding from your unit/department. By submitting this form, both applicant and supervisor, fully support and are committed to participation in this event. Reviewers will verify information information submitted.

For Reviewer's Use ONLY Reviewer's
Initials: _____

Date Reviewed: _____

Continuous employment requirement met:
Yes
No

Application complete:
Yes
No
Application due date met:
Yes
No
Supervisor signature and match provided:
Yes
No
Question responses authentic:
Yes
No, Rationale:_______________
Event applicable to professional development:
Yes
No
First-time grant applicant:
Yes
No
Post-event report from prior event missing:
Yes
No, Date Report Received: _______________

Be sure to make yourself a copy prior to submitting the form!

Return to Grant Information