Professional Development Grant Proposal

							                                            UW-MADISON ACADEMIC STAFF
                       PROFESSIONAL DEVELOPMENT GRANT PROPOSAL – SPRING 2013
This application is for one professional development activity that will occur between January 1, 2013 to
June 30, 2013. Please review the “Professional Development Grant Submission Procedures” prior to submission.

Name:                                                        Title:
Department:                                                  Division or College:
Title of Activity:

Location:                                                    Begin/End Date:

Type of Experience (choose one):                        Conference                              Bringing in a speaker or expert*
                                                        Workshop                                Individually customized experience
                                                        Training / Course                       Other (describe):



Total Cost of Activity:      $                               Grant Funding Requested: $
                                                             (no more than half of the total)


Please answer the following questions completely but concisely, limiting the proposal itself to two pages.
Include additional pages for:              Documentation about the PD activity
                                           Verification of travel and lodging costs
                                           Brief resume as it pertains to the PD request
                                           Letter of support


   1. What professional development (PD) activity are you proposing?*
      Describe the activity and include the following information: the sponsoring organization(s); intended
      audience; topics or content being offered that are relevant to this proposal; the nature of your involvement in
      the activity (e.g. attendee, presenter). Also provide a Web site for the event/activity and attach / include a
      copy of the general program schedule or agenda.

   2. Why are you interested in pursuing this PD experience?
      Describe the professional development needs that would be met by this activity, how you expect to benefit
      from the experience, and why this particular activity is an appropriate choice for you in your UW-Madison
      work role.

   3. How do you plan to use and share the information you learn from this PD experience?


   4. How will participating in this PD activity benefit or enhance the effectiveness of your program, your
      unit, and the university?



        * If your proposal involves bringing a speaker or training activity to campus, please also provide:
              A list of campus departments or units that will be served by the activity
              The number of academic staff from each unit that will be invited to participate, and the roles or titles
               they represent
              Documentation on the qualifications, fees and expenses of the speaker(s) to be invited
              A brief description or agenda of the experience that will be provided to the group



         Deadlines:       To your Department Chair (or equivalent)                                 October 22, 2012
                          To your Dean / Director                                                  October 29, 2012
                          Single Electronic Document to the Academic Staff Office                  November 12, 2012
                          Notification                                                             December 10, 2012