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 *
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
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