Kapi'Olani Community College Individual Travel And/or Training Faculty Development Fund Application / Voucher

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F/D Log #
KAPI‘OLANI COMMUNITY COLLEGE
INDIVIDUAL TRAVEL AND/OR TRAINING
FACULTY DEVELOPMENT FUND APPLICATION / VOUCHER
Name:
Position Title:
________
If lecturer or casual hire, number of credits taught at KCC (including the current semester):
Dept.:
Office location:
Phone Ext.:
Email:
Activity:
Location:
Date(s) of Activity:
Anticipated Benefits to Applicant’s Professional
Anticipated Benefits to the College:
Development:
Please attach additional page(s) if necessary.
Please attach additional page(s) if necessary.
q yes
q no
Has applicant previously received KCC Faculty /Staff Development funding?
If so, when?
For what activity?
Total Expenses:
Amount
Registration Fee
$
Air Fare (inter-island travel only)
$
Per Diem (inter-island travel only)
$
Applicant’s Signature
Date
Other:
$
0.00
Total
$
Faculty Dev. Funds Requested
$
Supervisor/Dept. Chair Approval
Date
q APPROVED
FACULTY DEVELOPMENT FUNDS
Amount Approved
$
Faculty Development Coordinator
Date
Authorized Account Code:
Date
Vice Chancellor for Academic Affairs
q DENIED
FACULTY DEVELOPMENT FUNDS
Reason for Denial:
Faculty Development Coordinator
Date
(This approved Application/Voucher must be attached to Payment Requisition or Travel Request)
When submitting this form, please include:
q Form 410: UH Training Request, if campus travel document is not required
q 1 copy of the Conference/Training Announcement/Agenda justifying requested funds
Submit the forms and brochure copy to Matthew Tuthill, Faculty Development Council Coordinator, by the deadlines
indicated in the current Faculty Development Council Guidelines. Deadlines will be strictly observed.
F/D Form 1
05/08/14

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