Series 405.8.4P - Request for Travel

1.    The following must be completed and submitted for approval at least one week prior to travel:

Name__________________________      School/Dept.________________________________

Conference title_________________________________________________________________

Conference location                                                             Date(s) ________________

Conference sponsor_____________________________________________________________

District and/or school/department goals to be addressed:

       _______________________________________________________________________________

       _______________________________________________________________________________

Specific goals to be accomplished:________________________________________________

       _______________________________________________________________________________

       _______________________________________________________________________________

How will you be collaborating with other colleagues in regards to the above goals? Please list the colleagues collaborating with you: _____________________________________________                                                                 

__________________________________________________________________________________________                                  

Submit a summary of your collaboration to your director.

2.    Estimated cost for travel requested:                  Comments:

            Registration        $_____________     ___________________________________________

            Mileage               $_____________     ___________________________________________

            Airfare                $_____________     ___________________________________________

            Meals                  $_____________     ___________________________________________

            Lodging               $_____________     ___________________________________________

            Substitute           $_____________     ___________________________________________

            Other                  $_____________ (specify)______________________________________

            Total cost to District 196                   $__________________________________________

3.    Submitted by                                                                                                          

                          name (print)                                signature                              date

4.    Submit request as follows:

• Licensed and non-licensed school employees - to principal or special education administrator
• Non-licensed employees - to department director or coordinator
• Principals and licensed employees not traveling on a professional growth plan grant - to director of elementary education/secondary education/special education
• Superintendent's cabinet members - to superintendent
• School Board members and the superintendent – to School Board chairperson

Approved by________________________                                                                             

                   signature                                  title                                             date

Procedures/405.8.4P/2-17-16