AKASL Professional Development Grant Reimbursement Form 2017-18
This is a three-part process. All three segments must be completed prior to reimbursement and submitted within 30 days of the end of the conference / event. Your responses for Part II or III may be published on the AkASL or Puffin website, as well as print publications such as grant and annual reports. Please contact the AkASL Grants Coordinator at akasl.grants@gmail.com with questions or assistance.
Part I: Reimbursement Information
Traveler's Name *
Your answer
Traveler's Email *
Your answer
Mailing Address *
Your answer
Traveler's Library *
Your answer
Title of Activity / Conference Attended *
Your answer
Total your expenses
List your expenses below. Type in $0 if there is no charge in that category. Please note reimbursable expenses are limited to (1) transportation such as airfare or shuttle, (2) lodging, and (3) pre-conference and general conference registration fees. No meals, mileage, or special events qualify for reimbursement. Remember the maximum amout of reimbursement is $1,000 for in-state events, $1,500 for out-of-state events, and $500 for online training.

Itemized receipts with name, date, and amount are required for all reimbursements. Email all receipts to the AkASL Grants Coordinator at akasl.grants@gmail.com Your reimbursement will not be processed until receipts have been received.

Conference Registration *
Your answer
Transportation / Air Fare *
Your answer
Lodging *
Your answer
By typing my name below I, the named, do hereby certify that this claim is just due and unpaid obligation against the Alaska Association of School Librarians. I certify that it is a correct claim for expenses incurred by me and that no payment has been received on account thereof. *
Your answer
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