Faculty PD Request

CIE Faculty PD Request

Fiscal Year 27
Use this form for all PD requests for conferences, travel, tuition, and other non-NMC training expenses. Reference the CIE Handbook.
All regular and adjunct faculty may spend up to $500 each fiscal year on individual PD such as webinars, in-state conferences, workshops, the Lily Conference, etc. Unspent money does not accrue. Every other fiscal year, all regular and adjunct faculty are funded to attend a more expensive PD event, such as a national conference. This is in addition to their $500. Regular-status and adjunct faculty are not eligible for a more expensive PD event if they attended a PD event the prior year. Provisional faculty are guaranteed funding for two conferences; eligibility for other faculty ends when the PD budget is depleted.

Fiscal Year: July 1 - June 30 of each year
Check the boxes to acknowledge the following CIE guidelines and criteria and initial below (all 4 must be selected to acknowledge):
Initial here to acknowledge the CIE guidelines and criteria above:
Note: For the Lily Conference, please fill out the form for our records, but registration and fees will be handled by the CIE Office Manager. For the Trends Conference, please fill out the form for our records, but check with Amy Burns Bailey for registration and fees.
Faculty & Employment Information
Faculty Email
example@nmc.edu
Faculty Name
Faculty NMCID
Date of your last PD event over $500 (Month and Year)
What is your position?
Academic Area/Department
Academic Area VP Email
example@example.com
Academic Area Chair Email
example@nmc.edu
Academic Area Office Manager Email
example@nmc.edu
Faculty Status
Conference Eligibility
If you attended the Lily Conference during the fiscal year, that does not affect eligibility for a CIE Professional Development Conference.
Professional Development/Conference Details

Please enter all requested details about your conference/PD in the form below.
Conference/PD Title
Location of the Conference/PD
Start Date

MonthDayYear
Date
End Date

MonthDayYear
Date
Purpose/Outcome
Are you presenting at the conference? How will this PD advance your teaching and scholarship? How does it relate to the Strategic Plan? Please answer in one or two sentences.
I acknowledge that I will write a brief report for CIE’s Newsletter.
Expense Details

Review information from the business office for allowable expenses.
Conference Registration Fee
Enter dollar amounts only
Transportation – Airfare
Enter dollar amounts only
Transportation – Rental Car
Enter dollar amounts only
Transportation – Own Car/IRS Mileage
Enter dollar amounts only
(Airfare, rental car, etc. If you are traveling by car, you will be reimbursed for the lesser of these two options: your own vehicle with current IRS mileage rate or rental car equivalent. See Finance & Administrations Forms. If you have questions, please contact your Academic Office Manager.)
Lodging (include taxes and fees)
Enter dollar amounts only
Meals (per diem per www.gsa.gov)
Enter dollar amounts only
Other Associated Costs (Parking, baggage fees, incidentals, etc.)
Enter dollar amounts only
Total Expenses
Note: Check with CIE or your department chair to see if extra funds are available.
If your conference is over $4,000, you are responsible for the additional costs unless you have made prior arrangements with your department chair.
Acknowledgements & Policy Confirmations
I, {q4_textbox2}, acknowledge the following (all 3 must be selected to acknowledge)::
Initial here is you acknowledge the items to the left.
For additional information, refer to the CIE Handbook or contact the CIE Director or Office Manager.
Thank you for your request; however, because you had a Professional Development Conference over $500 during the last fiscal year, your conference request has been denied. If you think there has been a mistake or have any questions, please contact the CIE Director.

Thank you.
Should be Empty:

CIE Faculty PD Request

Faculty & Employment Information

Professional Development/Conference Details

Expense Details

Acknowledgements & Policy Confirmations