Professional Leave Form
Breakfast:  Max $7 w/receipts              
Lunch:  Max $11 w/receipts                  
Dinner:  Max $17 w/receipts
Mileage:  IRS Approved Rate or State Approved Rate for Conferences
Lodging:  $75 (or Conference Rate) w/Receipts over 75 miles away

All professional leave requests must receive pre-approval from the School Board.  To meet this requirement, professional leave requests must be submitted at least 10 school days prior to the monthly School Board meeting.

Sign in to Google to save your progress. Learn more
Email *
Job Title  (Teacher, Custodian, Principal, etc.)
Clear selection
Dates of Activity MM/DD/YYYY
Location of Activity
Name of Activity
Clear selection
Check One:
Cost of Registration Fees
Cost of Transportation
Cost of Meals
Cost of Lodging
Cost of Other (Parking,Stipend,etc)
Substitute Needed
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This form was created inside of Seymour Community School Corporation. Report Abuse