Student Academic Development Post Event Evaluation

Answer the following questions to begin processing of your StAD fund reimbursement, be as specific as possible in your responses.

Applicant Information

Name *

Student ID *

Email *

Address *

Event Name *

Event Date *

Check Pick Up

Select how you would like to receive your funding check:

Send to address listed above - automatic unless you select the Business Office option

Pick up at Business Office

When selecting your pick up method note that checks can take up to 2-3 weeks to process. If you will not be on campus in that time frame it is better to select the address delivery option.

Post Event Reflection

How has this event enhanced your knowledge and/or skills as a student in your discipline? *

What impact does this event have on your understanding of your field of study and/or your ability to participate in and contribute to your discipline? *

How do you plan to (or when did you) share the information you gained at this conference/from this research with your fellow students? Please be specific including dates of presentations. Potential ways to share information: student organization meeting, classroom, email newsletter, Symposium for Scholarship and Creativity, etc. *

Expense Documentation

Other Funding

Will you receive funding from another source for this activity?

If yes, list source and amount.

All expense documentation must be submitted electronically. Include in one file itemized receipts that document all expenses. These can be scanned or close-up pictures. You may need more than one image for longer receipts.

A file upload is required for form submission:

Add Attachment

See instructions on the StAD page on how to complete receipt documentation. If you have questions contact Dr. Robert Charvat, Chair, charvat@findlay.edu.