Application for Professional Development Form

Professional Development Funding Application

Fill out the questions below and submit this form to request professional development funding. If you have not already done so, please be sure to inform your supervisor of your request for professional development funding, including the date(s) of your activity. They will be asked to approve this request. Review of applications will begin November 27, 2023. You will be notified within two weeks of the decision regarding your funding status.

If you have questions, please contact Fatina Elliott at felliott@susla.edu or extension 9376.

First Name

Last Name

Email Address

Extension

Job Title

Supervisor's Name

Department

Date you are submitting this request

Activity for which you are requesting funds

Please add a link to your event here

Date(s) of proposed activity

Details regarding your activity (is it a workshop/conference/webinar/etc., registration dates, and other relevant details):

Amount requested

If you are requesting funds for travel, please indicate a travel breakdown:

Lodging

Meals

Air Fare

Registration

Vehicle Rental

Gas for Rental Car

Parking

Shuttle/Taxi

Luggage

Other (Please explain)

Describe how the proposed activity will benefit Southern University at Shreveport

Any additional information or comments

Would you be willing to host a Professional Development workshop on your professional development topic?

Yes