Teacher Staff Development Request Form
All requests will be reviewed by the Professional Development Committee prior to approval.  
Email *
Identification Information
Teacher Name *
Title of Event *
Date(s) of Event *
Location of Event *
Project Overview
Provide a detailed description of the activity. *
Project Development
Describe how the activity will be implemented.  
Funds
What costs do you anticipate as part of your participation in this event?  Be specific and include all potential expenses.  Use the budge guide to assist you.
Registration / Participation Fee *
Teacher Substitute ($175 per day)
Per Diem Expense ($25 per day maximum for three meals) - receipts required for breakfast, lunch, dinner
Overnight Lodging Arrangements
If you are taking your own vehicle please add 70 cents per mile for travel expenses. Enter total number of miles and cost here 
Other Expenses (list all)
Registration Deadline / Early Bird Discount?
Total Cost for Participation
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