2018-19 ASD Professional Development Request Form
Please submit this form thirty (30) days prior to the activity if possible and after getting approval from your school administrator.

Allowable costs include: travel or lodging, meals (for out of town events), and registration fees to conference/workshop and other professional development events.

Email address *
Name: *
Your answer
School:
Title of workshop or conference: *
Your answer
Description of workshop or conference: *
Your answer
URL or Website related to event
Your answer
Number of hours of professional learning: *
Your answer
Location of workshop or conference: *
Your answer
Date(s) of workshop or conference: *
Your answer
Number of days to be released: *
Your answer
What is the objective of this professional learning experience? *
Your answer
How will this experience improve instruction or benefit students? *
Your answer
Addresses district (CSIP) or building (SIP) goals: *
Required
Budgeting
Registration and Fees: *
Do not use $ sign - e.g. 125.00
Your answer
Lodging: *
Do not use $ sign - e.g. 125.00
Your answer
Meals: *
Do not use $ sign - e.g. 125.00
Your answer
Other Cost:
Please include a number and a description - e.g. 125.00, for on-site resource purchasing only available at this event
Your answer
Estimated Total: *
Please add up the total of the previous items
Your answer
Funding Source *
Any other necessary information:
Your answer
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