BERC Professional Development Funding Program Application
Last Name *
Your answer
First Name *
Your answer
UC Berkeley Email Address *
Your answer
Event Name *
Your answer
Event Date *
MM
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DD
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YYYY
Please provide a brief description of the event and its relevance to BERC. Include a link to the event if applicable. *
Your answer
Please provide the link to your BERC blog post on the event *
Your answer
Total Costs *
Event costs include registration and travel expenses but do not include meals
Your answer
Funding Amount Requested *
BERC will reimburse up to 50% of the total event costs for a total $100 per person
Your answer
PayPal Address *
All funds will be reimbursed through PayPal
Your answer
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