Application Form – Professional Development Programs
APPLICANT SECTION
Applicant Name
Date
Applying for
Job Title
Job Level ( Please select )
Division or Faculty
Campus
Statement from Applicant Supporting Application
I confirm that I will manage my time effectively to allocate at least four hours per week of work time,
and additional time from my non-work time as necessary, to study and complete this program.
Applicants Signature
SUPERVISOR SECTION
I agree to provide up to four hours of study time per week for this applicant (if a general staff member), and to
effectively support the applicant in their workplace to successfully complete this program.
I agree that any travel related costs in relation to the program will be paid by our business area.
Supervisor’s Name
Supervisor’s Signature
SUBMIT APPLICATION