Conference Request System
Please use this form to request approval to attend a conference or external workshop/training.
Name:
Type name here as you would want it on registration.
Email:
example@ncresa.org
Supervisor Name:
Please Select
Brown, Bernard
Burt, Brenda
Dekuiper, Jodi
Ergang, Ryan
Gephart, Kristina
Hodges, Lynette
Humpage, Thomas
Lumbert, Jennifer
Marek, Candy
Mckinlay, Amber
Meluis, Andrew
Melius, Sarah
Mercer, Debra
Miller, Melissa
Phillips, Amberly
Phillips, Joel
Prewitt, Tonya
Rodriguez, Paula
Samuelson, Kelly
Scalici, Kelly
Scheidel, Andrea
Smith, Heather
Smith, Megan
Souza, Nathan
Thompson, Nancy
Veach, Vanessa
Wade, Jody
Wallace, Jodi
Zajac, Elizabeth
Zuwerink, William
Supervisor Email
Director Email
Admin Assistant Email
example@example.com
Are other NC RESA staff attending?
Yes
No
Please list other staff, along with department, that plan to attend:
Type names here as you would want them listed on registration.
Conference Name:
Meeting type:
Virtual
In Person
Conference Date:
-
Month
-
Day
Year
Conference Start Date:
-
Month
-
Day
Year
Conference End Date:
-
Month
-
Day
Year
Conference Location:
Street Address
City
State / Province
Postal / Zip Code
City:
State:
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Registration Completion
I will register myself after approval
I will need additional administrative support
Please provide a registration link for this conference:
These supports are provided by Mary Dyer
Are SCECHs available?
Yes
No
PIC Code:
Please input your personal identifier code
Conference Registration Fee:
Will there be additional costs associated?
Yes
No
Please fill the following table with information:
Description
Quantity
Approximate Costs
Actual Cost
Conference Registration
Travel Round Trip
Hotel
Number of Meals
Add on items
Misc.
Substitute/Instructor/Para pro
Total
Would you like the business office to book a hotel for you?
Yes
No
Hotel Arrival:
-
Month
-
Day
Year
Date
Hotel Departure:
-
Month
-
Day
Year
Date
Preferred Hotel:
Would you like the business office to make travel arrangements for you?
Yes
No
Preferred Travel Type:
Please Select
Rental Vehicle
Airplane
Are there any special accommodations (dietary, physical, etc.):
Submit your registration form or other supporting files here:
Browse Files
Drag and drop files here
Choose a file
Ability to upload multiple files
Cancel
of
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Provide a brief description of how this conference/training will enhance your instruction, is tied into your professional growth plan, and/or our system-wide improvement goal.
When applicable, please note the segments for which this training will impact
Have you already placed a guest teacher request in Red Rover?
Yes
No
N/A
Have you already placed your Skyward leave request?
Yes
No
Important!
Please submit your Skyward leave request as soon as possible- this time can be edited in Skyward in the future if anything changes.
Submit
Should be Empty: