OUTSIDE CONFERENCE/SEMINAR
ACTIVITY REPORTING FORM
Submit your information after completing the conference/Seminar.
You may want to print a copy for your records.

Instructions: In order to receive professional development credit for classes, departmental workshops, off campus conferences, seminars and workshops, complete this form. Be sure to include URL of sponsoring organization if available. (* are required fields)

* Employee: First Name
* Last Name
*Employee ID (DataTel)
*Phone Number
* Activity Title
* Conference/Workshop Organizer
* Start Date
* End Date
Activity Location
* Total number of Hours

Reason for Attending

URL
Copy & Paste (Website address)

SUBMIT FOR CREDIT AFTER YOU HAVE COMPLETED THE EVENT AND ONLY SUBMIT IT ONCE.
Allow 10 working days for processing, If you do not see credit in your history,
for the event contact either of us.

CPCCProfDev@cpcc.edu