University of Victoria 
Continuing Sessional Lecturer Scholarship Fund

Report Form

This report form is due by email as soon as possible after the funded event. Please save this form as a Word file and then rename it with your surname and year in the file name: e.g. <LastName_CS_Scholar_Report_YEAR> and send it to < ltsipc@uvic.ca >. Please note, claims will not be processed until this report is received.

Name: _____________________________________	Date: ____________________________________

Email: _____________________________________	Contact phone: ____________________________

Please answer the following questions:

i.	How did the event/activity contribute to your professional development as a Continuing Sessional Lecturer in your discipline (perhaps in contrast to your anticipation, if applicable)? (maximum 200 words)

ii.	Now that you have participated, how will the event/activity translate directly into your teaching and contribute to your students’ learning? (maximum 250 words)

iii.	Were there any other positive (perhaps unintended) outcomes from this experience that you would like to share?