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Audiovisual Support for Scholarly Activities
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APPLICATION FORM
AUDIOVISUAL SUPPORT FOR SCHOLARLY ACTIVITIES
School of Graduate Studies and University Research
University of Wisconsin-Eau Claire

The purpose of Scholarly Activity funding is to encourage members of the University community to participate in professional activities and extend their knowledge base beyond the campus In order to offer consulting and resources to as many individuals as possible you are asked to plan your activity and expenditures carefully. Staff is available to assist you in this process.

PROCEDURE FOR FUNDING AUDIOVISUAL SUPPORT

  1. Review needs and deadlines with Learning and Technology Services (LTS) staff.
  2. Complete this form including attaching confirmation of presentation or publication.
  3. Obtain department chair/administrator rating and approval.
  4. Return signed form to LTS (Schofiled 30). Production will begin AFTER receipt of this form.

REQUESTOR

Requestor:
 __________________________________________________
Date:
 __________________________________________________
Desired Date:
 __________________________________________________
Department/Unit:
 __________________________________________________
Organization/ Publication Title:
 __________________________________________________
Description:
 __________________________________________________
Services/ Materials Requested:

__________________________________________________
__________________________________________________
I have read and agree to the policies and procedures as outlined. I have attached the confirmation of presentation or publication guidelines.
Requestor's Signature:
__________________________________________________
Date:
 __________________________________________________

CHAIRPERSON OR UNIT ADMINISTRATOR

I have read this proposal and the policies for Audiovisual Support on the back of this application. I recommend the following (CHECK ONE).
  FUND DO NOT FUND
Department/Unit:
 __________________________________________________
Chair/ Administrator's
Signature:
__________________________________________________
Date:
 __________________________________________________

For LTS Use Only

TEACHING & LEARNING TECHNOLOGY DEVELOPMENT CENTER

Production Request No.
_____________________ ____________________ 		LTS Authorization
_____________________ ____________________ 		Cost Estimate
_____________________ ____________________
LTS Director Approval:
 ________________________________________

 
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Excellence, Our Measure, Our Motto, Our Goal.
Learning and Technology Services • OL1144 • University of Wisconsin-Eau Claire • Eau Claire WI 54702-4004

Phone: 715/836-5711
Gene Leisz (leiszgj@uwec.edu)
Updated: September 13, 2005