Adjunct Professional Development Fund (Acrobat (fill-in))

OFFICE OF ADMINISTRATION AND FINANCE
Adjunct Faculty Professional Development Fund Request Form
The Office of Administration and Finance reviews and approves applications for the Professional
Development Fund available to eligible adjunct faculty as per the Adjunct Contract. Eligible adjunct
faculty may make one request per year of up to $1,000. To be considered for funding, adjunct faculty
must complete the form below and submit their request to their department chair. After approval by the
chair, the form can be scanned and emailed to [email protected] or hand delivered to the
Office of Administration and Finance. Once approved, the signed form will be returned to the adjunct
faculty member.
Funds will not be advanced ahead of activities, are subject to all NYU business policy and guidelines,
and are available only as reimbursement for out-of-pocket expenses. To obtain reimbursement: submit
original receipts and a copy of this approved form to the Office of Administration and Finance within 30
days of the incurred expense(s). Funds will be reimbursed based on actual expenses which may be less
than that approved and may not exceed the amount approved.
General Information:
Contact Information:
Name:
Phone:
Amount Requested:
Email:
Department:
NetID:
Program:
UniversityID:
(1) Description of professional development activity.
(2) W ays in which it promotes professional development and/or relates to teaching.
Chair’s recommendation:
Chair’s Signature:_____________________________________
Date:____________
A&F Approved:
Date:____________
Administration and Finance| 627 Broadway, 7th Floor | New York, New York 10012
212 998 5017 | 212 995 3474 fax | [email protected] | www.steinhardt.nyu.edu/adminfinance
11/17/2015