Travel Request Form - Conference

REQUEST TO ATTEND A CONFERENCE

Do not submit this form if the session is taking place in the district.
SCHOOL-BASED TEAM MEMBERS: BE SURE TO ADVISE THE SCHOOL LEADER YOU LIST ON YOUR FORM TO EXPECT, LOOK FOR AND REVIEW THE CONFERENCE FORM EMAIL.
Your Name*

First NameLast Name
Your Email*

Confirmation Emailexample@example.com
Location*
Title (Your Position)*
i.e., 1st Grade ELL Teacher, Instructional Chairperson
Select the category that best describes your position
Name of Leader for first level approval*

First NameLast Name
Email of level one approver*

Confirmation Emailexample@example.com
Name of Central Office Supervisor/Director/Asst. Supt. for second level approval*

First NameLast Name
Email of Central Office Supervisor/Director/Asst. Supt. for second level approval*

Confirmation Emailexample@example.com
What is the name of the event you are requesting to attend?*
What is the name & address of the organization sponsoring/hosting the event?*
Where is the event being held?*
What is/are the date(s) of the event?*
Have you attended this even in the past?*
Date of last year's event

MonthDayYear
Date
Is it required to pay a registration fee to attend this event?*
Will you be covering the costs of the conference?*

YesNo, I am requesting the district cover the expenses
Is a substitute required when you attend this event?*
IF COST EXCEEDS $149, AN AGENDA ITEM IS REQUIRED. THE FIRST LEVEL APPROVER MUST ENSURE THE AGENDA ITEM IS COMPLETED AND SENT TO STAFF DEVELOPMENT IF REQUEST IS FULLY APPROVED.

IT IS RECOMMENDED THE REQUESTOR FOLLOW UP WITH THE FIRST LEVEL APPROVER TO ENSURE THE AGENDA ITEM IS CREATED AND SUBMITTED TO STAFF DEVELOPMENT.
Are there any other anticipated costs to the district if you attend this event?*

Total Estimated Costs
Supporting Documents

(registration information, completed registration form, etc.)
Cancelof
Signature

Clear
I certify that the information provided in this do cument is accurate to the best of my knowledge. I have also read and understood the Administrative Rules for Employee Travel issued by the school district.
Email
example@example.com
ADMIN USE ONLY
Cabinet Member Email
Cabinet Member Approved by:
DSD Approver
Should be Empty:

	Total
Registration Costs
Lodging Costs
Meals/Incidentals
Tolls
Travel Expenses (airfare, bus, train, taxi, rideshare)
Parking
Car Mileage Costs if traveling in own car
Miscellaneous Expenses

REQUEST TO ATTEND A CONFERENCE

SCHOOL-BASED TEAM MEMBERS: BE SURE TO ADVISE THE SCHOOL LEADER YOU LIST ON YOUR FORM TO EXPECT, LOOK FOR AND REVIEW THE CONFERENCE FORM EMAIL.