University Staff Professional Development Grant Application - University Staff Senate University of Wisconsin Oshkosh

University Staff Professional Development Grant Application Form

Please fill out the following to the best of your ability.

Name*
First Last
Campus Location*
Unit/Department*
Email*
Campus phone*
Month/year UW Oshkosh/Access Campus employment began*
Name of event*
Event date*
MM slash DD slash YYYY
Registration fee*
If driving, please estimate round trip mileage

Also show calculation.
Other transportation expenses

airfare, taxi, bus, tolls, etc
Estimated lodging costs

Show date(s), location and rate.
Other anticipated costs

miscellaneous item(s) with amount
Total event estimated cost*
Amount being requested (max. $350)*
What are your objectives when participating in this event?*
How will the event benefit you and your unit /dept?*
What conferences, seminars, workshops have you attended the past two years?*
Who paid for your participation in the above events?