Winter 2018 Professional Development Grant

Winter 2018 Professional Development Grant Professional Development Grant Application The Nova Southeastern University Pan Student Government Association is made up of all the 14 constituent SGA s established at NSU. In order to serve the varied student constituents, PanSGA has established a Professional Development Grant Program. It is important that applicants read the following information carefully and thoroughly. Failure to do so may result in application errors that could cause the application to not be reviewed and/or considered. This Grant program will award a successful applicant up to and no more than $1000 for use directed toward an academic professional development opportunity. Such opportunities can include the following: Supporting attendance to an external, non-nsu professional or academic association conference attendance related directly to your field of study Webinar or site-based short duration workshop attendance sponsored by a regional or national professional or academic association Regional or national leadership meetings and conferences for those NSU organizations that are officially recognized by the university and/or as a chapter of a national parent organization. Requests not considered include the following: Required Residential Institutes NSU Program Capstone experiences FSE Summer Institute Other NSU-based requirements Mission/Service Trips Conferences and activities that have already occurred 60 days prior to the applicable semester deadline for the request Opportunities not considered germane to program or organization s purpose Costs associated with conducting research whether as a degree requirement or other purpose Grant Criteria: In order to be considered for a PanSGA Professional Development Grant, students and/or student members must meet the following criteria: Be currently enrolled and a full time NSU student (as determined by program) Be enrolled at the time of the conference or workshop (or registered for the upcoming Fall Term if the event takes place during May August) Have a current Undergraduate or Graduate Student status Be in good academic standing as determined by the program of study (not on any official Academic Status or Probation) Be enrolled at NSU for at least one semester prior to the Professional Development Grant opportunity is completed Good conduct standing with the university If you feel you meet the criteria stated above, then you are encouraged to complete the application below. Please be advised that there is only a limited amount of grant funds available thus not every proposal will be funded or even fully funded. Grant Application timeline and instructions Grant Application Timeline: TIMELINE: The application deadline is Thursday, January 25, 2018 at 11:59pm: Applicants need to submit their OWN, individual application providing the information for Winter/Summer 2018 conferences and other experiences (conference travel to be completed through June 10, 2018). Applications for professional development opportunities outside the stated time frames will not be considered. Wednesday, January 31, 2018: The committee will review and allocate funds. We hope to notify applicants the week of February 5th: Applicants will be notified by NSU email and given further instructions if funding was approved by the committee. Monday, February 26, 2018: Airfare awarded is recommended to be purchased through the Student Fee Account office 15 business days upon receipt of award notification sent by email, however, purchases will be allowed after this date and before the deadline/ Friday, June 10, 2018: Travel expenses (Registration, hotel, transportation) must be completed & submitted by this date. Grant Conditions: Please note the following stipulations PanSGA funds will only be distributed to student awardee or directly to vendor. Funds will not be disbursed/transferred to a student organization or university department to cover travel expenses. Expenses eligible for funding are restricted to the following: Registration Hotel Transportation (may include airfare, train, rental car, cabs/taxis) The TOTAL amount requested from the PanSGA Professional Development Grant cannot exceed $1,000.00. Requests made over the $1,000.00 cap will NOT be reviewed! PanSGA grants will not cover all expenses associated with travel. Applicants are expected to contribute funds toward the conference in terms of meals, gas, etc. over and beyond any approved funds. No other Student Fee dollars can be used and/or requested from other sources (i.e. program SGA) to support the development opportunity. NOTE: Grant-based funding and/or Departmental Funds from NSU operational budgets are allowed, however, as per permission from academic program or department. Funds awarded for this opportunity can be directed toward international travel and conferences (SEE INTERNATIONAL TRAVEL NOTIFICATION). Any overages in airfare, hotel, or conference registration not covered by the grant award are the responsibility of the individual student. Please note there is a CAP of a maximum of 10 attendees (regardless of campus) per specific conference or opportunity regardless of amount Page 1 of 9 Winter 2018 Professional Development Grant

requested. The PanSGA Professional Development Grant will only pay for coach airfare or car rental submitted to the Student Fee Accounts Office. All air transportation must be arranged through the Student Fee Accounts office. The office/staff cannot guarantee the eventual ticket price will not exceed the amount awarded. If the airfare cost is more than the grant amount awarded for airfare, the recipient must cover the additional balance (or decline to attend). Please note: There will be a Travel Agency processing & insurance fee of $28.00 that should be included in request in addition to airfare. Grant recipients may or may not be responsible for this fee depending on the amount of students traveling and the amount allocated by the committee. Any unused funds will remain the property of the NSU PanSGA. Applicants can only APPLY FOR and/or RECEIVE (1) one Professional Development Grant per academic year. ONLY fully and correctly completed applications will be considered by the Grant Committee. Requests for applications to be reviewed prior to submission may not be granted due to the volume of applications received and time available. Reimbursements/Expenses: NO cash advances will be provided. IMPORTANT: Any airfare overages must be paid to the Student Fee Account Office by the student within 30 days of returning from their trip. No other reimbursable costs (i.e Hotel, Registration, ground transportation) will be paid to the student until after the conference has occurred. Hotel reimbursement will only occur to those whose names are on the hotel folio. All requests for reimbursements must be received by the Student Fee Accounts office no more than 30 days after the event or conference and in the proper form (i.e. itemized receipts that demonstrate proof of payment, zero-balance hotel bills, etc.). NOTE: If travel occurs in June, this time frame may be shortened in order to meet fiscal year end deadlines. Overages will be taken from the amount set for reimbursement. If the overages are more than the reimbursement amount, students must pay the remaining balance. If reimbursement amount is greater than the overages, the students remaining reimbursement will be returned to the student. Any balances or overages owed should be provided to the Student Fee Accounts Office with a check payable to Nova Southeastern University within 30 days of returning from their travel. If airfare or other expenses are pre-purchased on behalf of the student but the student eventually does not attend the conference experience indicated in the application, the student will owe and must refund the NSU PanSGA for the full amount (including taxes or any other fees) of the airfare, conference registration, and/or hotel funds awarded. Grant recipients who are also NSU Employees will be reimbursed through the ARIBA process. ALL grants awarded are provided on an individual basis and cannot be transferred to or shared with any other persons. Further, failure to pay any airfare overage by the stipulated date on the award email will result in a HOLD placed on the students account regardless if requests for reimbursable expenses awarded were made or not.this Hold will not be lifted until such time payment is made. IMPORTANT REVISIONS REGARDING INTERNATIONAL TRAVEL REQUESTS (Policy Update 11/4/13): ALL travel on behalf of Nova Southeastern University must now be registered and approved by the Office of International Affairs and the Office of Risk Management. If a student travels to a Level 1, 2, or 3 country (low or medium risk counties) as determined by Aon WorldAware, these offices can approve those trips as soon as they are registered and submitted. Those students traveling to high risk countries (level 4 or 5) are required to undergo a risk assessment. This usually takes about four weeks to be received by the Risk Management Office once the trip details and traveler profile have been submitted. These assessments then need to be approved by the traveler s supervisor (faculty sponsor or program Dean) and Dr. Williams, VP of Student Affairs. Further any requests that involve international travel must be allowed a four week window from the point of the award notification and the actual travel dates. Please take this into consideration when submitting applications. Applications that fall within the 4 week window cannot be considered. Students awarded funds to travel outside the U.S.A. should immediately go to the International Student Affairs website and register themselves with the university system at the following web address: http://www.nova.edu/internationalaffairs/travelreg/index.html I agree to all the above terms and conditions. [Required] I have read, understand and agree to all the above terms and conditions [ ] I agree Personal Information for Applicant First & Last Name Middle Initial Email Address Phone Number Address (Street, City, State & Zip) [Required] You must use your NSU email Address to be considered - must be 10-15 digits long and may include only numbers, hyphens, and spaces. Page 2 of 9 Winter 2018 Professional Development Grant

First name: Middle initial: Last name: Email address: Phone number: Address: City: State: ZIP: NSU # [Required] Gender: [ ] Female [ ] Male [ ] Other Academic Information College: [Required] If you are an Undergraduate Student, please select the "College of Undergraduate Studies." - must select a value. [ ] College of Health Care Sciences [ ] College of Nursing [ ] College of Engineering & Computing [ ] College of Dental Medicine [ ] H. Wayne Huizenga College of Business & Entrepreneurship [ ] College of Arts, Humanities & Social Sciences [ ] Shepard Broad College of Law [ ] Halmos College of Natural Sciences & Oceanography [ ] Abraham S. Fischler College of Education [ ] College of Pharmacy [ ] College of Osteopathic Medicine [ ] College of Optometry [ ] College of Undergraduate Studies [ ] College of Psychology Program [Required] Year of school: [Required] [ ] Graduate: Masters [ ] Undergraduate:Credit hours earned to date: [ ] Graduate: Specialist [ ] Graduate: Doctorate [ ] Graduate: Professional If you are an undergraduate, how many Credit Hours have you earned thus far? Expected Graduation Date: Month and year [Required] Opportunity Information Please complete FULLY. Providing a web address of the Conference or Activity ONLY will not be sufficient Conference or Opportunity Title: [Required] Page 3 of 9 Winter 2018 Professional Development Grant

Association or Vendor Website Address: [Required] - http://www.myschool.edu Conference Registration [Required] A screen shot or attached download of Conference Registration page MUST be provided in order for the application to be reviewed. The provided information MUST contain conference location, dates, and cost for registration. Association or Vendor Email address [Required] Association or Vendor Telephone Number: [Required] - must be 10-15 digits long and may include only numbers, hyphens, and spaces. Start of the Conference Date:(XX/XX/XXXX) [Required] End of Conference Date: [Required] Site of Conference: [Required] The next 3 questions are in regards to an NSU Program Faculty or Staff Advisor (who can verify your academic standing, reason for attending the conference, level of conference involvement, etc.) Advisor Name: [Required] Advisor Email: [Required] Please use NSU email Address Advisor Phone Number: [Required] - must be 10-15 digits long and may include only numbers, hyphens, and spaces. Conference/ Opportunity Involvement Conference/Opportunity Involvement The following represent levels of involvement and participation with the conference or workshop experience. Applications that involve the following will receive priority reivew (but still with no guarantee of partial or full funding) when the PanSGA Professional Devleopment Grant committee meets to consider applications once per semester. (PLEASE LIST YOUR NAME UNDER THE SECTION OR SECTIONS THAT APPLY) Presentation at Conference List your name if you have been selected to present an educational session, research/scholarship presentation, or poster session at the conference. (Confirmation of Educational, Research Presentation, or Poster Session acceptance MUST be attached in order to receive priority review.) Applicants must acknowledge if they are receiving funding for any or all costs stipulated above from the sponsoring organization or any other source and in what amounts. Page 4 of 9 Winter 2018 Professional Development Grant

Presentation at Conference Please provide proof of presentation approval. If approval has not been sent, please provide proof of submission. Confirmation of Educational Presentation, Research Presentation, or Poster Session acceptance MUST be attached in order to receive priority review. Regional, State, or National Officer List your name if you are a student officer on a state, regional U.S., national or international level of the association sponsoring the conference that are attending the proposed conference (confirmation from the national association on its letter-head must be provided confirming that the students listed are national officers). Simply being an officer of a local NSU chapter of the national association does not count as being a student officer at the national or international level. Also, applicants must acknowledge if they are receiving funding for any or all costs stipulated above from the sponsoring organization or any other source and in what amounts). Regional, State, or National Officer Please provide proof of officer position. confirmation from the national association on its letter-head must be provided confirming that the students listed are national officers. Officer of local chapter of national organization List your name if you are a current officer of a local chapter of a state, regional or national organization attending a leadership, professionally, or academically based national conference. Students must provide documentation that includes a) official verification of their office, b) approval by the organization s advisor, and c) additional verification by program SGA President List your name if you are attending the conference as a general attendee. Budget: Actual Costs Below are questions regarding the Actual Cost of the event per student attendee. Actual Costs: Registration Fee [Required] Actual Costs:Hotel (total hotel costs for the conference) [Required] If you plan to share a hotel room at the conference with another NSU student, please list the student here: [Required] If you are the only NSU student attending the conference, please put N/A in this section. If you plan to share a room, please list all students that will be sharing a hotel room for the conference. their name(s) must be listed on the hotel folio. Actual Costs: Transportation (Total all expected costs - airfare, cab, etc) [Required] Actual Costs: Total all of the costs included above [Required] Budget: Requested Costs Below are questions regarding the Requested Cost of the event per student attendee. Page 5 of 9 Winter 2018 Professional Development Grant

Requested: Registration: [Required] The Grant can only be used for basic conference registration. Pre-conference sessions, conference sponsored excursions, ticketed award ceremonies, socials, etc. are the responsibility of the applicant/grant recipient. - Numeric - ex: 1111 Requested: Hotel not to exceed $250.00 (inclusive of all taxes & fees) per room night based upon single occupancy NOTE: Hotel costs can be covered on a reimbursement method if travel is completed prior to 6/30/17. [Required] If you are sharing a hotel room with other grant recipients, you must submit your portion on an individual bill for reimbursement (with your name & your payment information). - Numeric - ex: 1111 Requested amount for Travel [Required] If requesting airfare - remember to add the $28 processing & insurance fee to any anticipated costs. - Numeric - ex: 1111 How do you plan to travel to conference: [Required] Please note any Air Travel or Rental Car awarded MUST be booked with the Student Fee Account office and is NOT Reimbursable. It will be paid by the Student Accounts Office directly to the vendor. - must select a value. [ ] Airfare [ ] Rental Car [ ] N/A [ ] The TOTAL amount requested from the PanSGA Professional Development Grant cannot exceed $1,000.00. Requests made over the $1,000.00 cap will NOT be reviewed. Other funds have been requested from: List the funding source and amount requested from other funds. Travel Information Copy of Driver's License [Required] Please upload a photocopy of your driver's license. List the date and time of your departure (for the conference): [Required] List the city of departure: [Required] List the city of arrival (conference site): [Required] List the date and time of return: [Required] Page 6 of 9 Winter 2018 Professional Development Grant

List the city of departure (conference site): [Required] List the city of arrival: [Required] Enrollment and Conduct Verification Enrollment and Conduct Verification By filling in your name in the field below, you are granting NSU officials the ability to research your academic and conduct records solely for the purpose of verifying your credentials for the NSU PanSGA Professional Development application. Further, you are confirming that all other information provided in this application is accurate. Finally you are confirming you meet ALL the requirements found in the Grant Criteria section. By filling in your name below, you acknowledge that any misuse of awarded funds or misrepresentation of the information presented can result in referral to both the University and/or college or school student conduct process. Also, you are acknowledging that incorrectly or incompletely completing the application or omitting required information can result in the application not be accepted, reviewed and/or considered. Accordingly, any funds deemed necessary to be returned to the NSU PanSGA will be billed to your account. Agreement to above Terms and Conditions [Required] All information that I have provided in this document is correct to the best of my knowledge. If you are awarded funds from the PanSGA Professional Development grant and accept those funds, you are confirming you are not receiving funds other than those disclosed on the application above (from the sponsoring association or any other NSU or non-nsu entity either in advance or reimbursed). Failure to disclose this will be considered fraud and be referred to your respective college and/or the Assistant Dean of Students for judicial action. [ ] I Agree Full Name: [Required] Each individual application will be scored based on the following criteria. Scores will be considered by the committee during the selection meeting. Having a higher score does not necessarily guarantee more funding. The committee encourages all students to apply. 4 - Presenting at or Organizing a Conference 3 - Regional, State, or National Officer (not presenting at conference) 2 - Officer of an NSU chapter of national organization (not presenting at conference) 1 - General Attendee Important Reminder: Decisions made by the NSU PanSGA Professional Grant Committee are considered FINAL and will not be amended. Further, grant awards cannot be amended or reallocated by the recipient to other costs associated with the opportunity or any other opportunity. All Applicants will be notified no later than the week of February 5, 2018 of any funding granted by the committee. If you have any questions please contact: amartinez1@nova.edu Dr. Alexis Martinez Assistant Dean for Student Development Date of Submission: [Required] College of Health Care Sciences SGA President Page 7 of 9 Winter 2018 Professional Development Grant

Default: mj1179@mynsu.nova.edu College of Nursing SGA President Default: bt541@mynsu.nova.edu College of Engineering & Computing SGA President Default: jr2393@mynsu.nova.edu College of Dental Medicine SGA President Default: zm94@mynsu.nova.edu H. Wayne Huizenga College of Business & Entrepreneurship SGA President Default: sharam@mynsu.nova.edu College of Arts, Humanities, and Social Sciences SGA President Default: gneemar@mynsu.nova.edu College of Psychology SGA President Default: cb2376@mynsu.nova.edu Shepard Broad College of Law SGA President Default: dm2316@mynsu.nova.edu Page 8 of 9 Winter 2018 Professional Development Grant

Halmos College of Natural Sciences and Oceanography SGA President Default: aw1599@mynsu.nova.edu Abraham S. Fischler College of Education SGA President Default: jw1096@mynsu.nova.edu College of Pharmacy SGA President Default: el600@mynsu.nova.edu College of Osteopathic Medicine SGA President Default: nnegron@mynsu.nova.edu College of Optometry SGA President Default: mo639@mynsu.nova.edu College of Undergraduate Studies SGA President Default: ll1182@mynsu.nova.edu Page 9 of 9 Winter 2018 Professional Development Grant