Conference or professional development opportunity you are seeking funds to support. *
Include name, date(s) of event, location, and web address for organization.
Your answer
Name of the accepted conference proposal *
Your answer
Short description of topic to be presented. Include how it relates to the CLP course you are teaching. *
Your answer
Name of the publication to which you will submit an article based on your presentation content and anticipated date of submission. *
If you have already published on this topic please provide the citation.
Your answer
Budget
List projected expenses to be covered and amount per expense. You can request up to $500. You must request matching funds from your institution or another source.
Your answer
Name of your UW campus supervisor and email.
Your supervisor will be contacted to confirm that they are supportive of your leave request in order to attend this professional development opportunity and to be sure they are aware of your work.