REQUEST FOR PROFESSIONAL LEAVE

REQUEST FOR PROFESSIONAL LEAVE
EMPLOYEE INFORMATION
EMPLOYEE NAME

First NameLast Name
Email
example@example.com
SCHOOL / LOCATION
Select your primary location. NOT what department your traveling for.
ASSIGNMENT
MEETING/CONFERENCE INFORMATION
TITLE OF MEETING/CONFERENCE

Attach agenda
Cancelof
LOCATION OF MEETING/CONFERENCE
DATES OF MEETING/CONFERENCE

Including Travel Time
LEAVE DATE

MonthDayYear
Date
RETURN DATE

MonthDayYear
Date
CRITERIA FOR PROFESSIONAL LEAVE
REASON FOR LEAVE
Please Explain How the Professional Leave will be of Direct Value to PCSD
I UNDERSTAND THAT ATTENDANCE AT THE PROFESSIONAL ACTIVITY IS SUBJECT TO BEING ABLE TO OBTAIN ADEQUATE SUBSTITUTE EMPLOYEES, IF REQUIRED.
I UNDERSTAND THAT PROFESSIONAL LEAVE MAY NOT BE TAKEN DURING THE FIRST TWO OR LAST TWO WEEKS OF THE SCHOOL YEAR EXCEPT IN EXTENUATING CIRCUMSTANCES.
I UNDERSTAND THAT LEAVE MUST BE REQUESTED AND APPROVED BY SUPERVISOR AND SUPERINTENDENT AT LEAST SIXTY (60) DAYS PRIOR TO DATE OF MEETING/CONFERENCE.
I UNDERSTAND THAT ANY OUT-OF-STATE PROFESSIONAL LEAVE MUST BE APPROVED BY THE PCSD BOARD OF TRUSTEES PRIOR TO TRAVEL.
WILL YOU BE REPRESENTING PCSD AT A NATIONAL, REGIONAL, OR LOCAL CONFERENCE?
How will it result in the direct benefit to PCSD?
HAS EMPLOYEE’S PRESENCE BEEN REQUESTED BY GOVERNOR OF THE STATE OF NEVADA? OR THE NEVADA DEPT OF EDUCATION?
Please attach request

Cancelof
IS ATTENDANCE AT THE PROFESSIONAL ACTIVITY LEGAL WITHIN THE APPLICABLE STATE LAWS?
DOES ATTENDANCE CONFLICT WITH POLICIES AND REGULATIONS OF PCSD?
WILL ATTENDANCE AT THE PROFESSIONAL ACTIVITY UNDULY INTERFERE WITH THE EMPLOYEE’S MAIN JOB RESPONSIBILITIES?
WILL THE INFORMATION GAINED FROM ATTENDANCE BE MADE AVAILABLE TO OTHER PCSD PERSONNEL?
WILL AN OUTSIDE ENTITY PAY THE COSTS OF (OR A PORTION OF) TRAVEL, PER DIEM, REGISTRATION, SUBSTITUTE TEACHER, AND OTHER EXPENSES?
Name of Entity, Contact Info
PROPOSED FUNDING SOURCE FOR PROFESSIONAL LEAVE & TRAVEL

COSTS SHOULD NOT EXCEED GSA AMOUNTS (www.gsa.gov)
PROPOSED SOURCE OF FUNDS
NAME OF SPECIFIC GRANT/DEPARTMENT
FUNDING ACCOUNT NUMBER TO BE CHARGED
ESTIMATED REGISTRATION COST
ESTIMATED PER DIEM COST
ESTIMATED HOTEL COST
ESTIMATED FLIGHT COST
ESTIMATED TRANSPORTATION (RENTAL CAR/TAXI/UBER/PARKING)
OTHER INFORMATION
EXTRA INFORMATION
I understand that submitting this Request for Professional Leave & Travel does not constitute a request for leave through the PCSD Portal. Once leave and travel have been approved, I must enter a request for leave in the PCSD Portal. I also understand that once leave and travel have been approved, I will work with my supervisor to register for training and to book the required travel.All requests for reimbursement should be submitted within 5 business days after return from travel.
Should be Empty:

REQUEST FOR PROFESSIONAL LEAVE

EMPLOYEE INFORMATION

MEETING/CONFERENCE INFORMATION

DATES OF MEETING/CONFERENCE

CRITERIA FOR PROFESSIONAL LEAVE

PROPOSED FUNDING SOURCE FOR PROFESSIONAL LEAVE & TRAVEL

OTHER INFORMATION