Professional Development Request
Request to attend Professional Development Outside the District
Select Your Building
Please Select
Tipton Elementary School
Tipton Middle School
Tipton High School
Name
First Name
Last Name
Email
example@example.com
Title Of Conference
Sponsoring Organization
Name of Conference Location
Conference Location
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Starting Date
-
Month
-
Day
Year
Date
Ending Date
-
Month
-
Day
Year
Date
Describe the nature of the conference or upload the published description below.
Upload Published Conference Description (If Applicable)
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In detail, please describe your goals/expected outcomes for participating in this workshop/conference.
Which of your professional development goals will be addressed by the conference.
Goals may be NEE Indicators or personal PD goals.
Describe the potential impact attending this conference will have on student achievement in your classroom.
Professional Development Funds Requested
Conference Fee
Substitute Pay @$90/day
Mileage/Flight Cost
Meal Expenses @ $40/day (for overnight only)
Lodging Expenses
Total Expense
Submit
For Building Principal
Account Number or Fund
Signature
Approval
I approve
I do not approve
Submit
For Treasurer
Signature
Approval
I approve
I do not approve
Submit
Should be Empty: