Professional Development Grant Applicants

Admin Information

Date Submitted: April 12, 2022

Application Number: PDG-19

Admin Decision:  Pending – Edit

Date of Decision:

Decision Comments: 

Applicant Information

Name: vapacrova vapacrovaPX

Title/Position:

Address Line 1: Avarua

Address Line 2: Avarua

City: Avarua

State: Kentucky

Zip: 111443
Phone Number: (999) 999-9999

Place of Employment

Farm/Program Name: vapacrovaPX

Supervisor’s Name: vapacrova vapacrovaPX

Supervisor’s Title:

Address Line 1: Avarua

Address Line 2: Avarua

City: Avarua

State: North Carolina

Zip: 124311
Phone Number: (999) 999-9999

Experience

Years in Position:

Average Hours Per Week:

Do you have any certifications or licenses? No

Support Request

Is the request for a conference or meeting? No

Describe the professional development experience for which you are seeking assistance.

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Provide justification for this request.

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Provide a detailed budget.

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Other expected sources of support (including self-support).

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Signatures

I/we certify that all of the information contained herein is correct and true.

Applicant Signature: vapacrova