Professional Development Opportunity Fund Request Form

Professional Development Opportunity Fund Request Form

Please review the PDOF policy and guidelines prior to submitting a request for funds.

PLEASE ATTACH BOTH OF THE FOLLOWING TO THE REQUEST:

Copy of receipt(s) showing amount paid.

Copy of flier, workshop announcement or class registration form.

If you have questions regarding the fund, please email hrinfo@uoregon.edu.

Employee Name*

UO ID*

Email*

Phone

Department*

Supervisor Name*

Supervisor Email*

Please note: an approval request will be emailed to your supervisor upon submission of this form. They will need to approve the request before the form can be processed.

Reimbursement should go to: (please select one)*

Department

Employee

Index code to be reimbursed

This request is work-related (it will benefit both employee and the University) and is for:*

Training/development for a seminar, workshop or continuing education by a professional organization.

Training/development for a UO class, community education class, or Lane Community College class.

Travel reimbursement (transportation, meals, lodging) for a workshop/class listed above.

Organization*

Institution

LCC

Other

Workshop/Class*

Credit Hours*

Start date of workshop/class*

End date of workshop/class*

Total cost*

Amount requested from Professional Development Opportunity Fund*

Please note that the total amount cannot exceed $200 total per request per term.

Total cost of travel*

Amount requested from Professional Development Opportunity Fund for travel*

Please note that the combined cost of the workshop and travel cannot exceed $200 total per request per term.

Attach a copy of receipt AND a copy of flier, workshop announcement or class registration form.*

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