PDC Request for Funds
Please submit by 5:00 p.m. on the Friday before the PDC meeting prior to the conference.
Name
Your answer
Email Address
Your answer
Building
Teaching Assignment
Your answer
Activity
Workshop/Conference
Your answer
Will you be traveling with others from our district?
Location of Workshop/Conference
Your answer
Date of Activity
Your answer
Will this workshop affect student achievement?
Has your administrator approved for you to share the information learned from this workshop/conference with your peers?
Are there other monies available for this workshop/conference?
Possible other monies may include Title 1, building funds, etc.
Are you willing to pay for lodging, meals, and gas?
Will this workshop/conference bring more resources to our school that were previously not available?
Link to Conference Webpage (Optional)
Copy and paste from web browser
Your answer
Cost: Registration/Fees
Your answer
Cost: Lodging
Your answer
Cost: Roundtrip Mileage ($.45 per mile)
Calculate from your school building; No mileage paid for Springfield.
Your answer
Cost: Meals
$20.00 per day if local; $30.00 per day for overnight stay
Your answer
Total Cost
All expenses added together (The total amount you are requesting)
Your answer
Electronic Signature
Please type your full name
Your answer
Submit
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