Professional Development Grant

Professional Development Grant Nova Southeastern University NSU Pan Student Government Association Professional Development Grant Application The Nova Southeastern University Pan Student Government Association is made up of all the 18 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 no more than$1,000 for use directed toward a professional development opportunity (please note that total funds requested from PanSGA cannot exceed $1,000). Please note there is a cap of a maximum of 10 attendees TOTAL (including on-line, SEC, and main campus) per specific conference or opportunity regardless of amount requested. 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. Application Process Application Process: Applicants should submit their OWN, individual application providing the information on this form no later than: -9/28/16 by noon for Fall 2016 conferences or other experiences and -1/20/17 for Winter/Summer 2017 conferences and other experiences. Applications for professional development opportunities outside the stated time frames will not be considered. Applicants must personally contribute funds toward the conference in terms of meals, ground transportation, etc. over and beyond amount eventually granted. 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). The review and selection committee will meet the week of 09/28/16 for Fall 2016 travel and 1/25/17 for Winter/Summer 2017 travel so please consider that in your planning and timing of request. Expenses eligible for funding are restricted to the following: -Air Travel (coach fare) Please note any Air Travel awarded MUST be booked with the Student Fee Account office and is NOT Reimbursable. Therefore air travel for conferences that occur prior to 9/31/16 (and shortly thereafter due to the short lag time between notification and purchase) will not be able to be covered in the Fall grant application request cycle. Page 1 of 8 Professional Development Grant

-Conference/Workshop Registration -Hotel Costs (not to exceed $250.00 per person per room night based upon single occupancy- applicants can maximize request by sharing and/or double occupancy) **(NOTE: Hotel costs can be covered on a reimbursement method if travel is completed prior to June 6, 2017 OR else pre-payment must be made for the amount for hotel awarded) All other expenses (i.e. meals, ground transportation, etc.) are the responsibility of the recipient. Any overages in air fare, hotel, or conference registration not covered by the grant award are the responsibility of the individual student. Successful applicants will be notified by NSU email and given further instructions. Grant Conditions: Please note the following stipulations: 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! Please note there is a CAP of a maximum of 10 attendees per specific conference or opportunity regardless of amount requested TOTAL (considering both main campus and SEC students). The request cannot exceed $10,000 TOTAL. Due to budget sweeps and entering a new budget year the Grant will only cover: a. Expenses for conferences/travel that occur before June 3, 2017. b. OR ONLY for Expenses that can be direct-billed and/or incurred in the current 2016-2017 budget year for conferences occurring after June 3, 2016 (i.e. conference registrations, flights and prepaid hotel). The PanSGA Professional Development Grant will only pay for coach airfare submitted to the Student Fee Accounts Office (preferably 4 weeks in advance of the travel date). All air transportation must be arranged through the Student Fee Accounts office and cannot guarantee the eventual ticket price will 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 fee of $27.75 that must be included in request. Grant recipients may or may not be responsible for this fee depending on the amount awarded for airfare. IMPORTANT: Any airfare overages must be paid to the Student Fee Account Office by the student in a timely manner. a. NO other reimbursable costs (i.e Hotel or Registration) will be paid to the student until airfare overage payment has been confirmed. b. ANY airfare awarded must be purchased in ADVANCE through the Student Fee Account office NO LATER than 15 business days upon receipt of award notification sent by email regardless of date of conference. Failure to do so WILL result and this part of the Grant not awarded. c. Further, failure to pay any airfare overage by the stipulated date on the award email will result in a CONDUCT HOLD placed on the students account regardless if requests for reimbursable expenses awarded were made or not. d.this Hold will not be lifted until such time payment is made. e. PLEASE NOTE: Unused funds from other allocations such as Registration and/or Hotel CANNOT be used to cover the overage. f. ADDITIONAL NOTE: This funds awarded are just that, a special award above and beyond the cost of attendance thus any balances owed not subject to being billed to your account since the funding does not come from tuition but from the Student Activity and Services Fee. The Grant will reimburse up to the published conference hotel rate (not to exceed $250.00 per person per room night) and only for those dates of the conference allowing, however, for EITHER one night prior OR one night after the published conference dates. 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 grant recipient. Please note that all expenditures must be completed via a direct bill (i.e. using NSU Travel Office for airfare) or reimbursement basis (for those qualifying items such as hotel or registration). No Cash Advances will be provided. 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 the June 3rd deadline. IMPORTANT: Any reimbursements requests received 30 days after the start date of the conference and/or stated in the award notification email will NOT be honored. This does not apply to travel that occurs prior to or after end of year budget sweeps. Those funds must be used in advance as per above. Any unused funds will remain the property of the NSU PanSGA. 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. NO cash advances will be provided. Applicants can only APPLY FOR and/or RECEIVE (1) one Professional Development Grant per academic year. The Professional Development Grant funding cannot be combined with any program-specific SGA allocated funding. 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. If you are awarded funds from the PanSGA Professional Development grant and accept those funds, you are confirming that you have not or will not receive funding for the costs provided (other than the PanSGA Professional Development grant) 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 Associate Dean of Students for judicial action. 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. Because the committee meets only two times a year, all available funds are allocated for each semester. if funds are awarded to a group of travelers attending the same conference, fund WILL NOT be granted to or added to stated awarded amounts of those travelers still attending if others within the same group decline or do not use their award. Any balances or overages owed should be provided to the Student Fee Accounts Office with a check payable to Nova Southeastern University prior to travel. 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. One half of the total available Professional Development Grant funds available for PanSGA will be allocated for the Fall 2016 semester. Any unused funds will roll over to support Winter/Summer 2017 opportunities. Page 2 of 8 Professional Development Grant

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). Due to the above, the PanSGA Professional Development can no longer reimburse expenses that occur PRIOR to the semesterly deadlines regardless of whether or not airfare was awarded. 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 agree to all the above terms and conditions [ ] I agree Personal Information Personal Information (please complete FULLY for each attendee) 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. - name@myschool.edu First name: Middle initial: Last name: Email address: Phone number: Address: City: State: ZIP: NSU # [Required] Female Male [ ] Female [ ] Male Academic Information College: [Required] Program [Required] Page 3 of 8 Professional Development Grant

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? I attend NSU primarily via (please indicate the best response): [Required] [ ] NSU Main Campus [ ] Exclusively On-Line [ ] Student Educational Center (please list which one): Expected Graduation Date: Month and year [Required] Opportunity Information Please complete FULLY for each attendee. Providing a web address of the Conference or Activity ONLY will not be sufficient Conference or Opportunity Title: [Required] 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] - name@myschool.edu 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: [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.) Page 4 of 8 Professional Development Grant

Advisor Name: [Required] Advisor EMail: [Required] Please use NSU email Address - name@myschool.edu Advisor Phone Number: [Required] - must be 10-15 digits long and may include only numbers, hyphens, and spaces. Program President: [Required] (NOTE: All applications require the approval of program-based SGA Presidents. Program Presidents Email Address: [Required] (NOTE: All applications require the approval of program-based SGA Presidents. - name@myschool.edu 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) 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. Presentation at Conference List your name if you have been selected to present an educational session and/or research/scholarship presentation at the conference (confirmation of Educational or Research Presentation Session acceptance MUST be attached in order to receive priority review). 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. Presentation at Conference Please provide proof of presentation approval. If approval has not been sent, please provide proof of submission. Confirmation of Educational or Research Presentation Session acceptance MUST be attached in order to receive priority review Poster Session List your name if you are presenting a scholarship or research poster session at the conference or seminar (confirmation of program Poster Session acceptance MUST be attached) 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. Page 5 of 8 Professional Development Grant

Poster Session Please provide proof of poster approval. If approval has not been sent, please provide proof of submission. 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. [Required] Budget Information Please provide the Budget information for the conference ( per student attendee). This is the money being requested from the Pan Student Government Association. Requested: Registration: Requested: Hotel Requested: Air Fare Requested: Total: Below are questions regarding the Actual Cost of the event per student attendee. Actual Costs: Registration Fee Actual Costs:Hotel Actual Costs: Transportation Actual Costs: Meals Actual Costs: Other Please Describe Page 6 of 8 Professional Development Grant

Actual Costs: Total The following questions are in regards to the amount of Personal Funds attendee is anticipated to use for this opportunity for meals, ground transportation, overages, etc. (Essentially the difference between the Actual Requested costs) Personal Funds: Meals Personal Funds: Hotel Overages Personal Funds: Flight Overages Personal Funds:Ground Transportation Personal Funds: Other Please list any additional costs attendee will be spending personal funds on. Personal Funds: Total Enrollment and Conduct Verification Enrollment and Conduct Verification (please provide for each attendee or organization member) 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 and complete for each attendee. 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. Full Name: [Required] Date of Submission: [Required] Agreement to above Terms and Conditions [Required] All information that I have provided in this document is correct to the best of my knowledge. [ ] I Agree Please Note: Successful applicants will be notified via email. Applications will only be accepted at the above stated deadlines. Page 7 of 8 Professional Development Grant

All application submissions must be done electronically through the Orgsync Form. If you have any questions please contact : Alexis Martinez Assistant Dean for Student Development PanSGA Advisor amartinez1@nova.edu Juanita Louis Graduate Assistant for Student Governance PanSGA Advisor jl224@nova.edu Page 8 of 8 Professional Development Grant