Member Development Fund

Member Development Fund Request for Funds______

Congratulations on your decision to use the Member Development Fund. The fund encourages lifelong learning by providing resources for learning opportunities. To receive reimbursement, please complete the following form.

Purpose of the Fund: The Member Development Fund of $100 per fiscal year, per Member, is available to all eligible Members. The purpose of the fund is to encourage the development of Johnsonville Members by providing financial support for resources related to learning and hobby-related opportunities. If the resource answers questions about “How to…” then it may be considered a “learning resource.” Final decisions will be made by the OD&L Team.

Eligibility: All Full Members are eligible to apply after 90 days of employment. Johnsonville Associate Members are eligible after one year of employment and 1,000 hours of service.

1. Please give a brief description of the resource and how it will help you grow:

2. COST: Important! -- Attach receipt or other proof of payment. Only one payment will be processed per Member per year. Resource Code* (See list below) Description/Title/Name of Resource Cost

*1, 2, 3, 4, 5, 6, 7 “Resources Covered” see list on next page

Date: Member Number: Name: Location: Department/Cost Center:

Submit form and proof of payment to Kathy Severance (C/S) for processing. The 2017 deadline is Friday, December 15, 2017 Resources Covered: Resources Not Covered: 1. Books  Current Work-Related Equipment  Future Career Development  Sports Equipment  Instructional  Tools  Educational  Office Equipment  Textbooks  Health/Fitness Equipment  Hobby-Related Entertainment 2. Magazines  TV Guide, People  Current Work-Related  Tabloids  Future Career Development  Music  Hobby-Related  Video Games  Health, Wellness, or Fitness  Video Movies for Entertainment  Computer Games 3. Information Sources  Magazines for Entertainment (i.e.  Newspapers/News magazines People, Ladies Home Journal,  Internet Service Sports Illustrated, etc.)  Smartphone Data Service  AARP Membership Supplies  Arts & Crafts Supplies 4. Learning Audio/Video Media  Calendars  Current Work-Related  Day Runners/Day Planners  Future Career Development  Maps  Instructional Hobby-Related  Fitness Memberships  N.R.A. 5. Seminars/Conferences  Ducks Unlimited  Current Work-Related  Professional  Future Career Development  Health/Fitness (i.e. YMCA, Sports Core, etc.) 6. Classes  In-house Classes (not related to Classes present position)  Weight Loss  Individual Classes  Smoking Cessation  Hobby-Related Classes  Fitness Classes

7. Computer Software  Examples include: Word, Excel, Access, PowerPoint, Windows  Learning related Apps  Electronic Learning Devices (i.e: computers, ipads, e-reader/kindle, ipods)