FY27 PD Request

FY27 Professional Development Request
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
District
School
A-C Central 262
School
Athens 213
School
Auburn 10
School
Ball-Chatham 5
School
Edinburg 4
School
New Berlin 16
School
North Mac 34
School
Pawnee 11
School
Pleasant Plains 8
School
Riverton 14
School
Rochester 3A
School
South Fork 14
School
SPS 186
School
SPS 186 elementary schools
School
Taylorville 3
School
Tri-City 1
School
Waverly 6
Requestor Name

First NameLast Name
Requestor Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

Event Name
Event Date(s)
Event Website

Event Registration

Rows	Name of Attendee (s)	Event Type Description (e.g. conference registration; lodging; pre-conference workshop; etc.)	Cost
1
2
3
4
5
6
7
8
9
10

Sub Total
Lodging Total
Enter Amount
Total Cost of Attendance
Discount
Discount option
Discount (rate)
Enter percentage
Discount (value)
Enter value
Sales Tax
Enter percentage value
Sales Tax Amount

Please provide EIN for each attendee
e.g. List attendee(s) role at district if staff does not have an EIN.
File Upload

Cancelof
District Administrator

First NameLast Name
District Administrator Email
example@example.com
Should be Empty: