Due Dates are September 1, February 1 and June 1

Individuals are to complete this application as described.

Groups are to submit general information for each group member, as well as submit one proposal with costs estimated for the group.

MSUE Professional Development Endowed Fund Award Application

GENERAL INFORMATION:
Name
Dept./County/Organization
Position Within Extension
Address
Address (cont.)
City
County
Zip/Postal code
Years in Extension
Work Phone
FAX
E-mail
EDUCATION:
Institution #1
Degree #1
Institution #2
Degree #2
Institution #3
Degree #3
Have you previously received this scholarship?	Choose one No, I've never received this scholarship before Yes, I've received this scholarship before
If Yes, date:
Amount:

Include the following for the proposal in the space below:

1. A description of the proposed Professional Improvement Activity with places, people, businesses, universities, etc., you plan to visit or complete.

2. A brief statement of your past experience in Extension work and your current job responsibilities. Group applicants are to include this information for each member.

3. A brief narrative of how the proposed Professional Improvement Activity will a) improve your personal growth and performance as an MSUE Professional and b) substantially contribute to the effectiveness of MSUE programs.

4. An itemization of estimated costs, other scholarships or sources of funds to be used, amount requested from this fund, and expected date by which these funds will be used if awarded.

               

Be sure to click on the "Submit" button after entering all of your information.

For your records, please print out a copy of the "Form Confirmation" you will see in your browser upon successful submission of this information.

You may type your proposal using a word processor, save your document and then use the copy feature in your word processor. The document can now be pasted into the above space. You may also send the information for this application as an e-mail message to Kathy Foerster.

Administrative Approval:

Approval is needed from your immediate administrative supervisor via email (preferred) to Kathy Foerster  or a hard copy may be sent to: Kathy Foerster, Room 11 Agriculture Hall, Michigan State University, East Lansing, MI 48824-1039 identifying the following:

The supervisor understands that the applicant is a professional appointed staff member with at least a 50% appointment with MSU Extension, and has approval to submit this application.

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Last updated: 23-January-2004
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