Professional Development Committee

Request to Attend Workshop/In-service Training

 

Requests must be submitted to a PDC member before a regularly scheduled meeting, which is the only time PDC will discuss and vote on such business.

 

Teacher Name: _________________________________________________________________

 

Name of Conference: ____________________________________________________________

 

Location: _____________________________________________________________________

 

Date and Time: _________________________________________________________________

*Please attach a copy of the in-service’s flyer or brochure to this form.  Failure to do so may result in your request being denied.

 

Anticipated Expenses and PDC Support Requested

 

 

PDC Use Only:

 

Approved

 

Not Approved

 

Tabled Until:

 

____________

 

1)  Substitute Pay

 

    _____ Days x $80.74  __________________

 

2)  Registration Fee  ______________________

 

3)  Transportation

 

    _____ Miles x .35  _____________________

 

4)  Lodging  ___________________________

 

             TOTAL ___________________

 

CSIP Components

     Objective # _____________

    

     Strategy # ______________

    

     Action Step # ___________

 

 

Building Admin. Approval ________

 

Date __________________________

 

How will this training benefit our students?  Be very specific as your answer may determine whether or not we approve your request.

 

_____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

_____________________________________________________________________________________________

 

Registration Billing Information

 

Name________________________________________

Address______________________________________

____________________________________________

Phone: ______________________________________

Fax: ________________________________________

Email: ______________________________________

 

Lodging Billing Information

 

Name________________________________________

Address______________________________________

____________________________________________

Phone: ______________________________________

Fax: ________________________________________

Email: ______________________________________

 

 

*Submit one copy to PDC and keep one for your records.  You will be notified as to the status of your request after the next scheduled PDC meeting.  You are responsible for making your own reservations; however, the office can help you with this.  Do NOT submit a PO to the office!  PDC will do this on your behalf.