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Pangborn/ MARC Fund – Post-Conference / Meetng Report

September 4, 2026

Pangborn/ MARC Fund — Post-Conference / Meeting Report

Recipient Information

Name of Award Recipient:(Required)

First Last

Conference / Workshop / Training(Required)

Location(Required)

Dates Attended

Degree to Which Professional Objectives Were Achieved(Required)

Please describe the extent to which you met the goals stated in your application.

Evaluation of Conference / Workshop(Required)

Please provide an overall assessment of the conference or workshop and its value to your professional development.

Estimated Expenditures

Enter the best available estimate for each applicable category before attending the event.
If an expense does not apply, enter 0. Attach available registration, lodging, or transportation estimates.

Total Amount Awarded

Registration Costs

Transportation Costs

Lodging Costs

Food Costs (per diem)

TOTAL Expenses

Remaining Funds Returned to the Business Office: $0 — funds were not disbursed prior to conference
If unused funds need to be returned to the Business Office, contact the CFRD Chair to determine the correct contact person. Business Office personnel must sign below.

Date(Required)

Check Number(Required)

Business Office Personnel Name(Required)

First Last

Faculty Certification

I certify that these amounts are reasonable pre-conference estimates and understand that actual reimbursable expenses are subject to University policy and required documentation.

Faculty Member Name(Required)

First Last

Date(Required)

Submission Instructions

• Electronic copies of report and receipts (combined in one PDF) to: CFRD at cfrd@ndm.edu