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INTERDEPARTMENTAL CHARGES FOR PROFESSIONAL DEVELOPMENT

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INTERDEPARTMENTAL CHARGES FOR PROFESSIONAL DEVELOPMENT
Print Form
INTERDEPARTMENTAL CHARGES FOR PROFESSIONAL DEVELOPMENT
(Supplemental Vocational Courses only)
Last Name:
First Name:
MI:
Student ID:
I am requesting the following courses to be charged to my department for:
Fall
Spring
Summer
Year
Name of Courses: List the course number and reference number
Course ID
Reference Number
Course Title
Statement of benefit to the College:
Signature (Student)
Date
Interdepartmental Authorization
I authorize the above named employee to attend the approved courses. I also certify that the above-named
employee holds an established authorized full-time position.I understand the course(s) will not be
contingent upon attendance, grade or continuous employment with the institution.
Supervisor's Name (please print):
Supervisor's Signature
Title
Budget/Funds Verified:
Org Unit:
Yes
-
No
-
FOR INTERNAL USE ONLY
Cashier's Office:
Customer Number: 28 Contract:
Receipt Number:
Date
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