Professional Development Grant Applicants

Admin Information

Date Submitted: June 24, 2015

Application Number: PDG-11

Admin Decision:  Approved – Edit

Date of Decision: June 27, 2015

Decision Comments: 

50%

Applicant Information

Name: Tammy Miller

Title/Position: Path Reg. riding instructor

Address Line 1: 297 Fairview Rd

City: Dickson

State: Tennessee

Zip: 37055
Phone Number: (615) 260-4126

Place of Employment

Farm/Program Name: Take the Reins

Supervisor’s Name: Jerry Clement

Supervisor’s Title: Owner

Address Line 1: 3636 Bear Creek Rd

City: Thompson Station

State: Tennessee

Zip: 37179
Phone Number: (615) 566-7534

Experience

Years in Position: 1

Average Hours Per Week: 3

Do you have any certifications or licenses? Yes

Certifications & Licensures:

Path Registered Instructor Certification

Support Request

Is the request for a conference or meeting? Yes

Conference/Meeting Name: Path Intl. Region 5 conference

Hotel/Conference Center Name: Equines Assisting Special Individuals (EASI)

Start Date: July 31, 2015

End Date: August 2, 2015

City: Jasper

State: Alabama

Provide justification for this request.

I am a new instructor and I only work 3 hours a week. Being the new person I get what’s left. I think the classes at this conference would be so beneficial in helping me to a better instructor. Also providing information about how to start my own therapeutic barn. The expected benefits is help with the hotel cost. I don’t have anyone to share a room with so I have to cover the total cost. The cost is $104 /plus tax a night and I’m staying 2 nights.

Provide a detailed budget.

Hotel $104/plus tax= $110Total=$220100% of $220

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

1)Path $50 schorlaship, help cover the $149 cost of the conference. 2)Gas around trip-$112 my expense3)Food $50- my expense

Signatures

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

Applicant Signature: Tammy Miller