Submit online or print and send to:
Staff Development Scholarship
Equal Opportunity & Diversity
103 MSTB
Irvine, CA 92697-1130
If you have questions, please drop by the office or call (949) 824-5594.
> Top of Page
Privacy Notification
The State of California Information Practices Act of 1977 requires the University to provide the following information to individuals who are asked to supply information about themselves: The principle purpose for requesting the information above is to determine eligibility for an employee development scholarship award. University procedures authorize maintenance of this information. Furnishing all the information is mandatory. Failure to provide such information may prevent completion of the action for which the form is being filled out. Information furnished on this form may be used by various University departments for reimbursement purposes and will be transmitted to the State and Federal governments if required. Individuals have the right to review their own records in accordance with staff personnel policies MAP 60, A&PS 160, or SP 605. The official responsible for maintaining the information contained on this form is the Director of Equal Opportunity and Diversity, University of California, Irvine, CA 92697 - 1130.