Title II, Part A, SNS Professional Development Itemization

Subrecipient Name

Region

SSA or Independent

Please Indicate ALL the Planned Required (to be paid with non-Title II, Part A) Professional Development Activities

Please utilize the dropdown list. Multiple selections can be made, and the corresponding fields requiring additional information will present themselves.

Please complete an entry for each Supplemental (to be paid for with Title II, Part A) Training activity. There is no dropdown provided. The fields are open text.

Supplemental Activity#1: Training Title

Comments and/or Additional Information

File Upload (Optional Additional Documentation)

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Form Date Field

mm/dd/yyyy

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