ESM (Revised 10/99)5.1.5.03

VE-AS-259WISCONSINTECHNICALCOLLEGE

OCCUPATIONAL COMPETENCY PROGRAM SYSTEM OFFICE

GRANT APPLICATION

General

WTCS District:

WTCS Instructor: Teaching Assignment:

Cooperating Business Industry:

Specific

Provide a description of the Occupational Competency Training Program, including: 1) Statement of how instruction will be improved resulting from participation in the training program; and 2) Statement defining the need for upgrading the technical college instructor’s skills considering technological advances in the occupational skill area (please attach statement to the grant application).

Dates of Training: Beginning: Ending:

 Full-time training  Part-time training Location of training:

Fiscal(use round dollar amounts)

Requested funding from the Wisconsin Technical College System Office: $ (Expenditure of these funds is limited to salary and benefits only, and does not include reimbursement for travel, meals, lodging and materials.)

Matching funds to be provided by employing technical college:TechnicalCollege

$

Assurances

If awarded this grant, I agree to comply with provisions of Administrative Rule TCS 11, including the provision to provide an instructor evaluation form [VE-AS-260(a)] within 60 days of completion of program.

______

Signature of technical college instructor

The employing technical college district agrees to provide matching support for this request and to comply with provisions of Administrative Rule TCS 11, including the provision to provide a district evaluation of this activity [Form VE-AS-260(b)] within 60 days of completion of program.

______

Signature of technical college president

The cooperating business/industry agrees to provide the above-named technical college instructor with occupational competency program training as described in the attached, and to provide a cooperating business/industry evaluation of this activity [Form VE-AS-260(c)] within 60 days of completion of program.

______

Signature of cooperating business/industry representative

______

Signature of WTCS president or his designee

Awarding of grants is based on the following:

  • Grant awards for technical college instructors employed by districts shall be made by the President or his/her designee
  • In determining whether a grant award will be made, based on a particular application, the following criteria shall be applied:
  • the potential for improved instruction resulting from participation in the program;
  • the need for upgrading the technical college instructor’s skills after considering technological advances in the subject area taught by that instructor;
  • the number of grant awards made in that particular geographic area; and
  • the availability of funds.

Complete this form and return electronically to:

Questions:Valerie Payne, Grants Coordinator

Wisconsin Technical College System

4622 University Avenue; PO Box 7874

Madison, WI 53707-7874

Telephone: 608-266-8879