Adjunct Faculty Development Workshop STIPEND REQUEST FORM Upon completion of four adjunct faculty development workshops, it is your responsibility to complete the enclosed form in order to receive your $200 stipend. Please print and complete this form as soon as possible. A supplemental pay proffer will be issued to you. Mail to: Cuyahoga Community College Eastern Campus – Evening/Weekend Program Attn: Barb Pitrone or Monica Armour 4250 Richmond Rd. Highland Hills, OH 44122 or Fax to : (216) 987-2161 Name: Address: Phone: ( ) - Tri-C ID: S Home Campus: East Metro UTC WEDD West I have participated in the four (4) faculty development workshops listed below: (You can access your course records through My Tri-C Space. Then go to My Info Tab > Student Records > Review or Print Your Unofficial Educational Record and/or InSight! > Learn > Learning Activity Reports > Training Transcript). 1. 2. 3. 4. _____________________________ _____________ Signature Date We hope that you have enjoyed and benefited from the workshops. Additional workshops will be announced for the upcoming semester. Thank you for your continued participation in this important area of professional development. If you have questions or concerns regarding your stipend please contact Barb at 216-987-2335 or Monica at 216-987-2225.
Pages to are hidden for
"Stipend Request form - My Tri-C Space - Cuyahoga Community College"Please download to view full document