Requesting Center for Faculty Excellence Credit

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
listening to a MSU podcast OR
watching a recording of a Center teaching workshop including the Early Career Success Certificate workshops.

Please complete the information below. Forms should be submitted for each activity immediately after attendance rather than all at one time.

Please provide your name and contact information.

Name

Email

Department

Details of the Activity

Date(s) of Activity (when was the workshop offered)

Total hours of attendance

Title of Workshop or Titles of Podcasts

Sponsoring Organization

Location

Brief Description

How I will incorporate what I learning into my role at MSU.
Please be specific here. We want to know what you will do with what you learned. How will this impact your students or other who you work with?

What type of credit are you asking for?

Membership Credit
Teaching Enhancement Certificate Credit
Early Career Faculty Success Certificate Credit
Other