Request to Attend Professional Development 17-18
Full Name
I, am requesting permission to attend an educational seminar, in-service or professional conference.
Your answer
Email
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Conference Name
Your answer
Hotel Name
If requesting hotel
Your answer
Hotel Address
If requesting Hotel
Your answer
Hotel Phone
If requesting hotel
Your answer
Hotel Arrival Date
MM
/
DD
/
YYYY
Hotel Departure Date
MM
/
DD
/
YYYY
Estimated cost for hotel
Your answer
Estimated Mileage
$.54/mile (required if requesting reimbursement)
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Registration Costs
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Meal Reimbursement
Breakfast - $6.00, Lunch - $10.00, Dinner - $18.00, maximum daily limit - $36.00
Your answer
I understand that by entering my full name and submitting this form I am requesting permission to attend an educational seminar, in-service or professional conference.
Enter full name
Your answer
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