ALLEGHANY COUNTY PUBLIC SCHOOLS

100 CENTRAL CIRCLE LOW MOOR, VA 24457

PHONE: (540) 863-1800      FAX: (540) 863-1804

 

REQUEST TO ATTEND PROFESSIONAL CONFERENCE

 

 

TO BE COMPLETED BY EMPLOYEE:

NAME:  _________________________________________________________

DATE: ญญญญญญญญญญญญญญญญญญญญญญญ______________________________________

SCHOOL: _________________________________________________________________________________________________________

NAME OF CONFERENCE:___________________________________________________________________________________________

LOCATION OF CONFERENCE:_______________________________________________________________________________________

DATE (S) OF CONFERENCE: ________________________________________________________________________________________

CONFERENCE SPONSORS: _________________________________________________________________________________________

ESTIMATED EXPENSES:    ___________________    +   ___________________     + ____________________   + ____________________                         

 

Registration

Lodging

Mileage

Total

 

 

 

*School Division vehicle must be used if available.  When a vehicle is not available, travel reimbursement will be provided at the most current per-mile-rate for use of personal vehicle as approved by the School Board.  Unless arrangements are made otherwise, vehicles may be picked-up or dropped-off at the Financial Services office located in the School Board Office complex in Low Moor between 7:30 a.m. and 4:30 p.m., Monday through Friday.  Confirmation of vehicle reservation and related scheduling is recommended by contacting Carolyn O’Connor in the Finance Office at (540) 863-1813.

 

*All trips involving students must have an approved field trip request.  Overnight trips including students require advanced School Board approval. Does this trip include students? ________ Field Trip Form Completed? __________ SB Approval Required? _________

 

I do NOT require a school division vehicle:  _______ 

 

  I wish to reserve a school division vehicle (please notify at least 4 days in advance) ______

      Pick Up Time: _______       Drop Off Time: ________                     How many people are traveling together on this trip? _______

 


NOTE:     Travel funds may be available.    Please contact your principal for the necessary form and regulations.    If  an  advance is  not  desired,  please  submit  the  "Itemized  Travel and/or  Expense  Statement"  for  reimbursement  immediately  upon your return. ALL receipts for expenses must be attached in order to request reimbursement.

______________________________________________________________________________________________________________

 

TO BE COMPLETED BY PRINCIPAL: Leave in AESOP?________ Approved by: ______________________   Date: _____________

FUNDING SOURCE?  School Allotment ____ Principal Allotment ____ Special Ed. Allotment ____ Other: ________________________

Principal Signature_____________________________________________  Date______________________________________________

APPROVED BY:  

Director of Human Resources & Pupil Personnel: _________________________________ Date: _______________

                              Transportation: ____________________________________ Date: ________________________________________

 

                              Vehicle is not available: ________   OR   Vehicle assigned for trip: _______________________________________

 

 

 

 

Revised:  July 2019