Please Contact:

Professor Steve Narrdozzi

Health and Safety Coordinator

914-345-8856

914-345-2761 (Fax)

914-606-8421 (Campus)

 

HEALTH & SAFETY

WCCFT Fulltime Faculty Development Application

Westchester Community College Federation of Teachers Local #2431

Please complete and return to S. Tanae Franklin,

Tech Bldg ROOM 32, 606-8421 by September 30, 2011.

Name __________________________________________________

WCC Office Location_______________ Office Ext. ____________

Department _________________________________

Refer to page 3 to itemize your expenses– and attach your receipts

*Meals: note current maximum per day is $60

**Mileage: Must include supporting documentation (i.e. mapquest page). Claim to be based on current reimbursement which is $.555

Did you receive funds from any other sources? Please specify amount and source

$_____________ source ________________________________