This form is to request credit for

  • participating in teaching professional development activities if it is offered outside of MSU OR
  • participating in teaching events sponsored by MSU with the goal of enhancing teaching OR
  • watching a recording of a Center teaching workshop including the Early Career Success Certificate workshops.

Please complete the information below and submit it to cfe@montana.edu.  Forms should be submitted immediately after attendance rather than all at one time.

Faculty Name: ____________________________________________________________________________________________

 

Department: ______________________________________________________________________________________________

 

Date(s) of Activity: __________________________________________________________________________________________

 

Total Hours of Attendance: ___________________________________________________________________________________

 

Title:  ____________________________________________________________________________________________________


Sponsoring Organization: _____________________________________________________________________________________

 

Location: __________________________________________________________________________________________________

 

Brief Description:

 

 

 

 

 How I will Incorporate what I learned into my teaching:

 Please be specific here. We want to know what you will do with what you learned. How will this impact your students?

 

 

 

 

 

 

 

Your Signature:____________________________________________________________________________________________

Updated: December 2018