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2021-22 Request for Staff Development
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DIfKdU
1
Upon attending a staff development opportunity, you are required to teach and share your learning with colleagues.
1.
*
What year is this request being made?
2021-22 School year
2.
*
In which building do you mostly work?
BPS
BIS
BMS
BHS
District Office
3.
*
What type of PD/funds are being requested?
Local conference
State conference
National conference
Writing Time
District PD
Food for District Training
Books for District Training
Supplies for District Training
Stipends for District Training
Books for Professional Development
4.
*
What number request is this for you this school year?
5.
*
Have you considered the available PD being provided by the district?
Yes... This is District PD
Yes... but the PD isn't provided at this time
Other
6.
*
Which Priority Goal does this request fulfill?
Personalize Learning in pursuit of academic excellence
Inspire students and staff to develop their character, share their talents, and apply their learning
Maintain excellence in resource management
7.
*
How would this request fulfill the Priority Goal you chose?
8.
*
What is your plan for sharing your learning with colleagues?
9.
*
What is your name?
10.
*
Name of the workshop/activity
11.
*
Date of the workshop/activity
12.
*
Registration Fee
13.
*
Registration deadline
14.
*
Are you requesting lodging?
Yes
No
15.
*
If you are requesting lodging, please indicate the name of the hotel and the phone number.
16.
*
Total Lodging costs (including taxes).
17.
*
Lodging Dates - Check in
AND
Check out dates
18.
*
Have you requested a school van?
Yes (see your building secretary to request a van)
No... I don't need one or I prefer to drive. I understand that I will not be reimbursed.
Yes... but the van is not available. I will be reimbursed.
(Indicate estimated amount below.)
19.
*
Indicate the estimated amount of mileage reimbursement.
20.
*
Will you be requesting meal reimbursement? (i.e. $30 per day or $40 if staying overnight - This does not include alcoholic beverages.
If requesting
meal reimbursement, upon your return, attach receipts to a voucher and submit to Beth Sherden at the DACS building).
Yes (indicate the estimated amount in the total below)
No
21.
*
Indicate the estimated amount of meal reimbursement.
22.
*
What is the total cost of this request? Be sure to add all costs to this total (registration fee, lodging, mileage or meal reimbursement, etc.).
Example: 399.15
(no signs or text... just the number)
AFTER YOU HIT SUBMIT, please
PRINT OFF
the submission receipt (right click + print) and return
to Jena Johnson
at the Intermediate building
with completed registration materials attached
. If approved, you will receive an email
stating
that
the request will be forwarded to the Business Office (Beth Sherden) for processing. Secure a sub immediately, if needed.
Please
allow at least one week for processing (follow up with Beth if needed).
23.
Comments