Professional Development Request Heads up! Your completed form will generate a PDF that you must print for signatures and deliver to HR with all supporting documentation. Step 1 of 2 50% Awards are limited to one award per fiscal year and do not exceed $1,200. SPRING – Activity January 1 through June 30. Completed request due to HR no later than June 30. FALL – Activity July 1 through December 31. Completed request due to HR no later than December 31. Eligibility: All those currently employed by the Commonwealth of Massachusetts at Greenfield Community College who are members of the Assembly. See member description in Article III, GCC Assembly Bylaws dated October 7, 2002. Instructions: Complete the form and attach all required documents for your supervisor’s signature and approval of your participation. A signed yellow Travel Authorization Form authorizing travel is mandatory in order to be considered for this request (regardless of funding approval). This applies to both in-state and out-of-state travel. Submit completed packet to Human Resources. Name(Required) First Last Email(Required) Enter Email Confirm Email Position/Title(Required) Request Type(Required) Individual Group Additional Participants(Required) Description(Required)What is the nature of your request? Max. 50 wordsDestination(Required) Date(s) of Activity(Required) Does this event require travel?(Required) Yes No Signed yellow travel authorization form must be submitted as wellEstimated ExpensesPersonal Vehicle MilesMileage is reimbursed at $0.70/mileLodgingAirfareMealsMax. $40/day with receiptsOther Travel ExpensesParking, tolls, taxiRegistration Fees/TuitionTuition/conference/reg fees, etc.Materials, Supplies, BooksTotalHiddenReal Total HiddenMileageRationaleSupport of Goals(Required)Max 125 words. Describe how your activity supports the College's strategic goals (below), NECHE recommendations or the goals of your functional unit (President’s Office, Student and Academic Affairs, Administrative Services), department or program. Ensure equity in access and success as a student-ready college. Advance innovation and excellence in teaching, learning and stewardship of the College. Contribute to regional resilience by engaging with the community and employers as we prepare students for the future of work and for citizenship. Ensure long-term sustainability through financial resilience and investment in our human capital, community assets and rural identity. Community Benefit/Growth(Required)Max 125 words. In what way(s) will your activity enhance the delivery of material or services that you provide to students or your functional unit?Personal Benefit/Growth(Required)Max 125 words. How will this activity contribute to your individual professional development for your role at GCC? Please review your request below for accuracy!—then scroll down to submit or edit. Your Name: {Name (First):1.3} {Name (Last):1.6} Email: {Email:4} Title: {Position/Title:3} Request Type: {Request Type:5} Date(s): {Date(s) of Activity:8} Destination: {Destination:9} Mileage: {Mileage:19} ({Personal Vehicle Miles:10} miles) Airfare: {Airfare:12} Lodging: {Lodging:11} Meals: {Meals:14} Reg./Conference Fees: {Fees/Tuition:15} Materials: {Materials, Supplies, Books:16} Other: {Other Travel Expenses:13} TOTAL REQUESTED: {Total:31} Your Request: {Description:24} Rationale: {Support of Goals:25} {Community Benefit/Growth:27} {Personal Benefit/Growth:28} Everything look good? Click "Finish & PRINT" to generate your PDF to print and sign or "Back" to edit your request.