Name __________________________________________________________
School __________________________________________
Department, Grade ______
CONFERENCE ___________________________________________________
Conference Dates _____________________________________
Dates on which you propose to be absent from classes _______________
Place ____________________________________________________________
Purposes of Attendance at Conference:
Estimated Costs:
(subject to Board Policy 6830)
Registration Fee ___________
Transportation __________
Meals __________
Lodging __________ **
Miscellaneous __________
TOTAL: __________
Signature: __________________________________________________________ Date: _______________
Recommended by Department Supervisor (where applicable): ____________________________________________________
Recommended by Principal: ______________________________________________________
Budget Code: __________
Disposition
Approved __________________________________________ with reimbursement to maximum of __________
Approved, without reimbursement __________________________________________
Not approved __________________________________________
**All reasonable lodging must be approved by the Superintendent: Approve _____ Disapprove _____
Signature of Superintendent of Schools: ____________________________________________________
Date: _______________
September 1974
September 2002
January 2006
Amended May 23, 2016