Professional Development Application

Professional Development Application
All leave requests for professional development or meetings must be approved by your supervisor and the Superintendent. Requests requiring out-of state travel or corporation payment for overnight stay requires Board of Education approval. These requests must be forwarded to the Superintendent ten days prior to the next regularly scheduled Board of Education meeting for consideration.
Applicant's Name*
First and Last Name
Date of Request*

MonthDayYear
Date
What is your school email address?*
Used to notify you when your request is approved or denied
What building are you associated with?*
Email
example@example.com
Name of Professional Development Event or Meeting*

0/15
Location of the Conference or Meeting (City, State):*

If virtual, please put virtual.0/20
Registration Cost*
If none, put "0"
Date(s) of Conference:*
Travel Cost
If none, put "0"
Lodging Cost
If none, put "0"
Other Expenses
Reimbursement Not To Exceed Amount*
Number of School Days Missed:*
Number of Non-school Days Missed:*
This is an out-of-state conference*

YesNO
I am requesting reimbursement for overnight stay for this conference*

YesNO
Please describe how your participation in this event furthers the educational outcomes of students or helps you complete your assigned duties more effectively. *

0/150
Signature*

Clear
Date*

MonthDayYear
Date
NOTE: A synopsis of the professional develop activity or meeting is required to be submitted to the Superintendent within ten days following the event. This synopsis shall be limited to one page in length and shall include pertinent information that details how the event furthered the educational outcomes for students or aided the employee in completing his/her duty assignment more effectively. Please provide specifics.
Should be Empty: