University of Victoria 
Teaching-Stream Faculty Scholarship Fund

Report Form

This report form is due a maximum of one month after your completion of the event for which you received funding. Please save this form as a Word file and then rename it with your surname and year in the file name: e.g. <LastName_TSF_Scholar_Report_YEAR> and send it to < ltsipc@uvic.ca > no later than 4:00 PM on the day of the deadline. 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 Teaching-Stream Faculty member in your discipline (perhaps in contrast to your anticipation, if applicable)? (approximately 200 words)

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

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