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Request for Stipend
Adjunct Faculty Campus-Based Development Activity
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
J Number
*
Your answer
Home Street Address
*
Your answer
City, State, Zip
*
Your answer
How would you like your check sent?
*
interoffice mail
mail to my home
Required
Dean or Supervisor
*
Choose
David Kadanoff: AHHS
Marilyn Gerace: SSBU
Amber Kautzman: STEM
LIB
Tammy Smith: SDEV
OTHER
Activity (For any "other" activities, approval will be communicated to you via email shortly after your submission.)
*
Faculty Development Day
Approved Lightbulb Activity (please include name of activity below)
Brightspace (please include name of training below)
Other:
If you selected Lightbulb or Brightspace, please include link and/or training topic.
Your answer
Activity Date
*
MM
/
DD
/
YYYY
Number of Request for this Academic Year
*
Choose
First
Second
Third
Fourth
Fifth
Sixth
If your Activity is an already approved Activity: By clicking the box below, you are confirming that you attended this activity.
I have completed the activity described above.
If your Activity is not currently approved, approval will be communicated to you via email within 48 hours after your submission. By clicking the box below, you are confirming that if approved, you will email
AdministrativeSpecialists@mail.sunyjcc.edu
, with confirmation that you attended this activity within 2 weeks after attending the event.
I will email
AdministrativeSpecialists@mail.sunyjcc.edu
confirmation of attendance.
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A copy of your responses will be emailed to the address you provided.
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