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Professional Development Award Application

Name of Representative Submitting Application
APPLICATION FOR REIMBURSEMENT
Please complete the following requested information for reimbursement.
Purpose for Reimbursement *
If Other, please specify below.
One application per quarter, per member. Members are limited to the number of allotted representatives based on membership category. For example, if you are a Category C ($1,000 Dues) with an allotment of 3 representatives, you can get coverage for up to three employees per application. Members may submit applications for up to $250 in reimbursements.
An application must be made for workforce development completed or to be completed one month prior or in advance of the applied quarter.
Must provide proof of completion and payment.
Format: M/d/yyyy