Macquarie University
Professional Staff Development Grant
Application Form	
PLEASE NOTE:
•	You can complete this form electronically. 
•	Make sure you get all relevant signatures to complete your application. 
•	Scan your completed document and then email to Susan Wallace in Staff & Organisation Development at: develop@mq.edu.au
•	Applications received after October 28, 2011 will not be considered.
•	Applications for development grants for less than $1000 will not be considered this year.	
	
STAFF MEMBER TO COMPLETE:	
	
Section A:  Applicant’s Details	
Name: 	

Staff Number:	
	
Date of appointment:	

Position Title:	

Faculty / Office:	
	
Department/ Unit	

Email:	
	
Phone:	

	

Section B:  Full Description of Proposed Program of Activities 	

1.	Nature and Purpose:
	Describe the nature and purpose proposed program of activities e.g. Study Tour, Conference, Research Project	

2.	Aims:
Describe what you hope to learn. What skills and/or expertise do you hope to develop as a result of completing this program of activities?	

3.	Expected Outcomes:
•	For You: How will this learning or these new skills further your development as a professional in your area of expertise?
•	For the University: Describe how your new knowledge and skills will benefit the university.
	
4.	Itinerary: if the application is for a study tour provide a description and details of the tour OR please attach the itinerary

IF your application is for a development grant to Complete a Research Project or Degree - please address the following additional criteria in the space below:
•	A statement of the relevance of this research to your current professional work and its contribution to the development of the University. 
•	Intended time frame for the research. 
•	A declaration (with evidence) to show that you have exhausted all other avenues of financial assistance available to support postgraduate research students to conduct research from the University in which you are enrolled for your higher degree. 
•	Postgraduate Research Supervisor’s details. 
•	Any other information you consider to be relevant. 
	
Response to Additional Criteria (if applicable)	

Section C:  Proposed Period of Absence	
Start Date
		End Date		
Number of Weeks

Are there any special professional/work related factors relevant to the timing of your proposed program of activities?	

	
Are there any special personal factors relevant to the timing of your proposed period(s) of leave? 	
	
Budget Justification

Provide and attach quotes for the following (if relevant):

•	travel expenses
•	accommodation expenses
•	conference fees
•	other
	
Section D:  Budget for the Proposed Program of Activities	
Budget details 	Assistance provided by your
organisational unit  	Assistance sought through Grant
	
Study Tour/PD program 	
Travel 			
Accommodation 			
Meals/expenses 			
Program/Conference Fees			
Research Project/Degree Completion 	
Personnel 			
Time release 			
TOTAL 			

Staff Member’s Signature		Date:		

Section E:  Statements of Support	
Note:	You require a statement of support from your manager.

		You also require an endorsement from your manager’s manager for your proposed development activities.	
Statement of Support (from manager)	

Manager’s Name: 	

Manager’s Position Title:	

Faculty / Office:	
	
Department/ Unit	

Email:	
	
Phone:	

	
	
In the space provided below, please comment on the expected value of the proposed program of activities in terms of developing 
a.	the applicant's knowledge, skills and/or abilities
b.	the University's capacity to transact its core business	

 Signature		Date:		

Endorsement from Manager’s manager	
	
Name		
Title		
Faculty/Office		
Department				
Email		Phone		

I endorse this application for professional development. I believe it will significantly contribute to individual and organisational capability.	
Signature 		Date		

For Office Use Only

Approval by Panel Committee	
	
After review of the application against the grant criteria and discussion amongst the panel committee, the application has / has not been approved.
	
Name of Panel Convener	Margo Droulers	Title	Manager – Organisation & Staff Development	
Signature of Panel Convener		Date