TCS Professional Learning Request Form
Please answer the questions regarding your professional learning request. Requests will be reviewed by your supervisor and an email from Melissa will be sent to you regarding your pending request.
First Name *
Your answer
Last Name *
Your answer
Department *
Check the box that applies to you.
Required
Role *
Your answer
Name of Organization *
Please add the name of the organization that is hosting the workshop/conference.
Your answer
Title of Workshop/Conference *
Your answer
Date/s and Hours of Workshop/Conference *
Your answer
Please attach a link to the workshop/conference. *
Your answer
Describe your role at the workshop/conference. *
Presenter/instructor, committee member, attendee
Your answer
Professional Practice and Student Learning Goal *
Give a brief narrative explaining how this professional learning opportunity supports your Professional Practice and/or Student Learning Goal.
Your answer
Evidence of Professional Growth *
Explain briefly what you intend to gain from this experience and how it will contribute to your role at TCS. Provide examples of how you will share your experience with the TCS community (faculty/staff/students) upon your return.
Your answer
Expenses for Workshop/Conference *
Please include an estimate for the following: travel (air/train/car), ground transportation, lodging (# of nights), registration fee, meals, other (describe) = Grand Total. Meals will be reimbursed at a per diem of $50 except when meals are provided. If driving to the conference/workshop, we will reimburse at $0.53.5 a mile.
Your answer
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