Series 405.8.4P - Request for Travel
Adopted: April 1985
Revised: February 2016
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