Professional-Development-Request-form

Professional-Development-Request-form



Microsoft Word – Professional Development Request form.docx






	
  

Professional	
  Development	
  Request	
  Form	
  
Faculty	
  at	
  Western	
  Technical	
  College	
  are	
  encouraged	
  to	
  participate	
  in	
  professional	
  development	
  in	
  order	
  to	
  
help	
  them	
  update	
  their	
  occupational	
  skills,	
  continue	
  their	
  education,	
  meet	
  Faculty	
  Quality	
  Assurance	
  System	
  
Competencies,	
  and	
  continue	
  to	
  learn	
  and	
  develop	
  their	
  skills	
  in	
  their	
  discipline	
  and	
  as	
  leaders.	
  
With	
  limited	
  resources,	
  it	
  is	
  crucial	
  to	
  ensure	
  that	
  the	
  funds	
  being	
  spent	
  for	
  professional	
  development	
  align	
  
with	
  Western’s	
  Key	
  Results.	
  The	
  following	
  questions	
  should	
  be	
  considered	
  prior	
  to	
  requesting	
  funding	
  
assistance.	
  Keep	
  in	
  mind,	
  planning	
  far	
  in	
  advance	
  is	
  essential.	
  
•
•
•
•

Which	
  key	
  results	
  will	
  be	
  impacted	
  from	
  my	
  participation	
  in	
  this	
  learning	
  experience?	
  
Are	
  there	
  others	
  in	
  the	
  same	
  or	
  similar	
  roles	
  that	
  should	
  also	
  participate?	
  	
  If	
  so,	
  have	
  I	
  discussed	
  this	
  
opportunity	
  with	
  them?	
  
Have	
  I	
  received	
  approval	
  from	
  my	
  supervisor	
  to	
  participate	
  in	
  this	
  learning	
  experience?	
  Do	
  they	
  need	
  
to	
  help	
  me	
  with	
  funding?	
  Will	
  a	
  substitute	
  be	
  necessary	
  while	
  I’m	
  gone?	
  	
  
What	
  funding	
  sources	
  exists?	
  
o Division	
  
o Grant	
  Funding	
  
o Professional	
  Development	
  through	
  HR	
  
o Personal	
  
o Other	
  

Please	
  complete	
  the	
  following	
  and	
  submit	
  to	
  your	
  supervisor,	
  Jackie	
  Kettner-­‐Sieber,	
  and	
  any	
  other	
  pertinent	
  
funding	
  sources	
  at	
  least	
  three	
  weeks	
  prior	
  to	
  event.	
  Average	
  funding	
  amounts	
  from	
  Professional	
  Development	
  
–	
  HR	
  are	
  approximately	
  $250.	
  
Date	
  of	
  Request:	
  
Name:	
  
Supervisor:	
  
Briefly	
  describe	
  the	
  learning	
  experience:	
  
	
  
Date	
  and	
  location:	
  
Estimated	
  costs:	
  
Describe	
  how	
  this	
  training	
  will	
  enhance	
  what	
  you	
  do	
  at	
  Western:	
  
	
  
	
  
	
  
	
  
Created	
  by:	
  Kettnerj	
  

	
  

Updated:	
  7.16.14	
  by	
  halee	
  

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